Provider Demographics
NPI:1114809233
Name:FRENCH, KACEE (PA-C)
Entity type:Individual
Prefix:
First Name:KACEE
Middle Name:
Last Name:FRENCH
Suffix:
Gender:X
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 COUNTY ROUTE 19
Mailing Address - Street 2:
Mailing Address - City:HERMON
Mailing Address - State:NY
Mailing Address - Zip Code:13652-3209
Mailing Address - Country:US
Mailing Address - Phone:843-504-0203
Mailing Address - Fax:
Practice Address - Street 1:50 LEROY ST
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-1786
Practice Address - Country:US
Practice Address - Phone:315-265-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033988363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant