Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY S. WALLACH, P.A.-C
Active Sole ProprietorKIMBERLY S. WALLACH, P.A.-C is a Medical Physician Assistant healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1750391462 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PRESCOTT VALLEY, AZ
Registration Details
- NPI Number
- 1750391462
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2006 (19.831088974291 yrs)
- Last Updated
- Sep 9, 2014
- License
-
5775 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6496 E STATE ROUTE 69PRESCOTT VALLEY, AZ, 863142920Browse AZ providers · Browse ZIP 86314
- Phone
- 9287759007
- Fax
- 9287759048
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in PRESCOTT VALLEY, AZ
| Name | Credential | NPI |
|---|---|---|
| MS. LINDA BETH ROBERTS | PA-C | 1487658431 |
| KATIE LYNNE PETERSON | PA-C | 1528119906 |
| PRESTON DAVID MILLER | PA-C | 1477794451 |
| MICA L ADAIR | PA | 1831653377 |
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.