Provider Demographics
NPI:1871395343
Name:KUKFA, KRISTEN ANNE (PA)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ANNE
Last Name:KUKFA
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Gender:
Credentials:PA
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Mailing Address - Street 1:4860 BEDFORD DR
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-2496
Mailing Address - Country:US
Mailing Address - Phone:585-645-4223
Mailing Address - Fax:
Practice Address - Street 1:111 CONTINENTAL DR STE 201
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4330
Practice Address - Country:US
Practice Address - Phone:585-645-4223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant