Individual provider · Type 1 NPI

Kevin Alan Wall, FNP

Family Nurse Practitioner · Vestal, NY

NPI number 1386292357 Active

Practice location

200 Front St Ste C
Vestal, NY 13850-1559

Call (607) 239-5694 Map

Mailing address

3011 State Route 41
Cincinnatus, NY 13040-2215

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	344995 (NY)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

Emily Barvinchak, FNPFamily Nurse Practitioner Vestal, NY NPI 1356918700
Eric Reeves, LAT, ATC, PAPhysician Assistant Vestal, NY NPI 1437698602

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About NPI 1386292357

Kevin Alan Wall, FNP's National Provider Identifier is 1386292357, issued on Sep 3, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vestal, NY. The record was last updated on Sep 3, 2019.