Mcclintock-Walla, Kimberly Theresa

Mcclintock-Walla, Kimberly Theresa is an individual health care provider with primary practice located at 67 S Main St , Pearl River NY 10965-2444. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mcclintock-Walla, Kimberly Theresa can be contacted via phone (845) 368-0800.

Contact Information

Primary practice address
67 S Main St Pearl River NY 10965-2444
Phone: (845) 368-0800
Fax: (845) 368-0810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 311577 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 311577 New York

Profile Details

NPI number 1750163705
LBN Legal business name Mcclintock-Walla, Kimberly Theresa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2023
Last updated Oct 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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