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Kimberly Wallach, P.A.-C

NPI 1750391462 · on the registry since 2006 · sole proprietor

Practice

Address
6496 E State Route 69
Prescott Valley, AZ 86314
Phone
(928) 775-9007
Fax
(928) 775-9048

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona