Individual provider · Type 1 NPI

Kimberly Joy Waack, PA-C

Physician Assistant · Albuquerque, NM

NPI number 1023214566 Active

Practice location

1901 Juan Tabo Blvd NE Ste B
Albuquerque, NM 87112-3303

Call (505) 281-5180 Map

Fax (505) 702-8171

Mailing address

PO Box 602195
Charlotte, NC 28260-2195

Other practice locations

  • 2216 E Nc Highway 54, Durham, NC 27713-2208 · (919) 350-0365

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2026-0045 (NM)
Physician Assistant 363A00000X0010-00955 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

Other physician assistant providers in Albuquerque

See all in Albuquerque →

About NPI 1023214566

Kimberly Joy Waack, PA-C's National Provider Identifier is 1023214566, issued on Jun 22, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Albuquerque, NM. The record was last updated on May 26, 2026.