Kimberly S. Wallach in Prescott Valley - Medical

Kimberly S. Wallach - NPI 1750391462

Kimberly S. Wallach is a Medical in Prescott Valley, Arizona. Kimberly S. Wallach practices all healthcare services and medical treatments related to Medical. The NPI Number for Kimberly S. Wallach is 1750391462. The last update date is 2014-09-09.

Kimberly S. Wallach's current location address is 6496 E State Route 69, Prescott Valley, Arizona. You can contact this provider via phone number 9287759007 and fax number 9287759048. The mailing address for Kimberly S. Wallach is 6496 E State Route 69, Prescott Valley, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly S. Wallach
Address 6496 E State Route 69, Prescott Valley, Arizona
Phone Number 9287759007
Fax Number 9287759048
Sole Proprietor Y
Credentials P.A.-C

NPI Number Detail

NPI Number 1750391462
Provider Enumeration Date 2006-08-08
Last Updated Date 2014-09-09

Provider Mailing Address Detail

Address 6496 E State Route 69
City Prescott Valley
State Arizona (AZ)
Post Code 863142920
Phone Number 9287759007
Fax Number 9287759048

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5775
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Kimberly S. Wallach

What is the unique 10-digit identifier code assigned to Kimberly S. Wallach by the Centers for Medicare & Medicaid Services?

The Kimberly S. Wallach has been issued the NPI (National Provider Identifier) 1750391462 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Kimberly S. Wallach?

The Kimberly S. Wallach is physically situated at 6496 E State Route 69, in the city of Prescott Valley, state of AZ, with the postal code 863142920.

What is the Kimberly S. Wallach's specialty and taxonomy code?

The Kimberly S. Wallach's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Kimberly S. Wallach receive the assignment of its 1750391462 from the Centers for Medicare & Medicaid Services?

The Kimberly S. Wallach was issued its 1750391462 by the Centers for Medicare & Medicaid Services on 2006-08-08.

As of what date was the information regarding Kimberly S. Wallach, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kimberly S. Wallach, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-09-09.

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