Provider Demographics
NPI:1285705913
Name:STEIGHNER, KESHA (PA)
Entity type:Individual
Prefix:MRS
First Name:KESHA
Middle Name:
Last Name:STEIGHNER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 W STATE ST
Mailing Address - Street 2:#115
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1938
Mailing Address - Country:US
Mailing Address - Phone:716-372-5601
Mailing Address - Fax:716-372-5616
Practice Address - Street 1:2223 W STATE ST
Practice Address - Street 2:#115
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1938
Practice Address - Country:US
Practice Address - Phone:716-372-5601
Practice Address - Fax:716-372-5616
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008473-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical