Individual provider · Type 1 NPI
Gerald Scott Kingsley, RPAC
Medical Physician Assistant · Rochester, NY
NPI number
1184630766
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
601 Elmwood Ave Box 665
Rochester, NY 14642-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 5800 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | 005800 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1184630766
Gerald Scott Kingsley, RPAC's National Provider Identifier is 1184630766, issued on Aug 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jun 20, 2025.