Provider Demographics
NPI:1437731106
Name:EDEL, KATELYN (MD, MPH)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:EDEL
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 SHERMAN ST STE 2100
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-7087
Mailing Address - Country:US
Mailing Address - Phone:716-644-8510
Mailing Address - Fax:
Practice Address - Street 1:17 SHERMAN ST STE 2100
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-7087
Practice Address - Country:US
Practice Address - Phone:716-644-8510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33743801207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology