Wallach, Kimberly S.
Wallach, Kimberly S. is an sole proprietor health care provider with primary practice located at 6496 E State Route 69 , Prescott Valley AZ 86314-2920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wallach, Kimberly S. can be contacted via phone (928) 775-9007.Contact Information
Primary practice address
6496 E State Route 69
Prescott Valley AZ 86314-2920
Phone: (928) 775-9007
Fax: (928) 775-9048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5775 | Arizona |
Profile Details
| NPI number | 1750391462 |
|---|---|
| LBN Legal business name | Wallach, Kimberly S. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Sep 9th, 2014 - about 11 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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