Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLEYAYN WALLACE, PA
ActiveKELLEYAYN WALLACE, PA is a Physician Assistant healthcare provider located in ROCHESTER, New York. NPI 1831290717 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROCHESTER, NY
Registration Details
- NPI Number
- 1831290717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2006 (19.870901961152 yrs)
- Last Updated
- Dec 9, 2015
- License
-
011509 (NY)
Practice Information
- Address
-
2080 CLINTON AVE SOUTHROCHESTER, NY, 14618Browse NY providers · Browse ZIP 14618
- Phone
- 5852712800
- Fax
- 5852710375
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROCHESTER, NY
| Name | Credential | NPI |
|---|---|---|
| CHERYL A PARNELL | PA | 1770585085 |
| DR. PAUL FRANCES SCHEIB | PA | 1073513651 |
| MS. MARIA A DEROSA | RPAC | 1740282508 |
| MRS. JACQUELINE ANN KENT | RPA-C | 1568454437 |
| MRS. CRYSTAL L ENGLERT | PA | 1609861533 |
| MRS. SARAH MICHELLE INGALSBE-GENO | RPA-C, MPAS | 1942290184 |
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.