Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kathleen Elizabeth Wandell, PA-S

Individual provider Physician Assistant · NPI 1134053572

Kathleen Elizabeth Wandell, PA-S is a Physician Assistant in Syracuse, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-1834
Phone: (315) 464-5540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 036630-01 (NY)

Record details

NPI number1134053572
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJune 10, 2026
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026

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