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Kelleyayn Wallace, PA
Physician Assistant in Rochester, New York
NPI 1831290717

Kelleyayn Wallace is a Physician Assistant based in Rochester, NY. Kelleyayn Wallace practices in Rochester, NY and has the professional credentials of PA. The NPI Number for Kelleyayn Wallace is 1831290717 and holds a License No. 011509 (New York).

The current practice location address for Kelleyayn Wallace is 2080 Clinton Ave South, Rochester, NY and can be reached out via phone at 585-271-2800 and via fax at 585-271-0375.

Location: 2080 Clinton Ave South, Rochester, NY, 14618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831290717
Provider Name
Kelleyayn Wallace
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2080 Clinton Ave South, Rochester, NY, 14618
Phone Number
585-271-2800
Fax Number
585-271-0375
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CF8438 01 NY MEDICARE RAILROAD
7082043 01 NY AETNA
G0183898590 01 EXCELLUS
02578343 05 NY
1366535940 01 NY GROUP NPI
institution
Provider Business Practice Location Address Details
Address
2080 Clinton Ave South
City
Rochester
State
New York
Zip
14618
Phone Number
585-271-2800
Fax Number
585-271-0375
person
Provider Business Mailing Address Details
Address
2080 Clinton Ave South
City
Rochester
State
New York
Zip
14618
Phone Number
585-271-2800
Fax Number
585-271-0375
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
011509 (New York)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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