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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY M WALLACH, PA-C

Active

KIMBERLY M WALLACH, PA-C is a Physician Assistant healthcare provider located in AUBURN, New York. NPI 1710609631 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · AUBURN, NY

Registration Details

NPI Number
1710609631
Provider Type
Individual
Gender
Female
NPI Issued
Sep 16, 2022 (3.873955356578 yrs)
Last Updated
Feb 19, 2026
License
029180 (NY)

Practice Information

Address
77 NELSON ST STE 240
AUBURN, NY, 130211944
Browse NY providers · Browse ZIP 13021
Phone
3155670390
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in AUBURN, NY

Name Credential NPI
MR. MARK HENRY LEINWAND PA-C 1255391793
JEFFREY P OWENS RPAC 1700984143
MR. THOMAS E BURKERT RPAC 1801995618
MRS. DINA SCHNELLINGER PA, PT 1891854634
KEZIA SULLIVAN RPA-C 1336325067
MR. LOUIS CHARLES DEVITO RPAC 1124353461
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.