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Kelleyayn Wallace, PA
NPI 1831290717 · on the registry since 2006
Practice
- Address
- 2080 Clinton Ave South
Rochester, NY 14618 - Phone
- (585) 271-2800
- Fax
- (585) 271-0375
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-09
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 New York