person
Kimberly S. Wallach, PA-C
Medical Physician Assistant in Prescott Valley, Arizona
NPI 1750391462

Kimberly S. Wallach is a Medical Physician Assistant based in Prescott, AZ and is specialized in Medical. Kimberly S. Wallach practices in Prescott Valley, AZ and has the professional credentials of PA-C. The NPI Number for Kimberly S. Wallach is 1750391462 and holds a License No. 5775 (Arizona).

The current practice location address for Kimberly S. Wallach is 6496 E State Route 69, Prescott Valley, AZ and can be reached out via phone at 928-775-9007 and via fax at 928-775-9048. You can also correspond with Kimberly S. Wallach through the mailing address at 3191 STILLWATER DR, PRESCOTT, AZ - 86305-7143 (mailing address contact number: 928-445-7085).

Location: 6496 E State Route 69, Prescott Valley, AZ, 86305-7143
person
Provider Profile Details
NPI Number
1750391462
Provider Name
Kimberly S. Wallach
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6496 E State Route 69, Prescott Valley, AZ, 86305-7143
Phone Number
928-775-9007
Fax Number
928-775-9048
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6496 E State Route 69
City
State
Zip
86314-2920
Phone Number
928-775-9007
Fax Number
928-775-9048
person
Provider Business Mailing Address Details
Address
6496 E State Route 69
City
State
Zip
86314-2920
Phone Number
928-775-9007
Fax Number
928-775-9048
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5775 (Arizona)
Definition
Definition to come...
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