KATHLEEN ELIZABETH WANDELL PA-S
NPI 1134053572
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Active since June 10, 2026
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5540 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Elizabeth Wandell Pa-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN ELIZABETH WANDELL PA-S (NPI 1134053572) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1134053572
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHLEEN ELIZABETH WANDELLCredential: PA-S
Location Address750 E ADAMS STSyracuse, NY 13210-1834
Mailing Address4378 Georgian Ct Apt A15Liverpool, NY 13090-3993 · (607) 731-8789
Sole ProprietorNo
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
NPI 1134053572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

750 E ADAMS ST, Syracuse, NY 13210

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Wandell's NPI number?

The NPI number for Kathleen Wandell is 1134053572. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Kathleen Wandell located?

Kathleen Wandell practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5540.

What is Kathleen Wandell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kathleen Wandell was last updated on June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.