Individual provider · Type 1 NPI

Kimberly Ann Vonderlieth, PA-C

Surgical Physician Assistant · Melbourne, FL

NPI number 1396917522 Active

Practice location

1251 Hickory St
Melbourne, FL 32901-3221

Call (321) 434-3420 Map

Fax (321) 434-3423

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Other practice locations

  • 1130 Hickory St Ste B, Melbourne, FL 32901-1973 · (321) 434-3420
  • 1350 Hickory St, Melbourne, FL 32901-3224 · (321) 434-3420

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA9101648 (FL)
Surgical Physician Assistant Primary 363AS0400XPA9101648 (FL)

Surgical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1396917522

Kimberly Ann Vonderlieth, PA-C's National Provider Identifier is 1396917522, issued on Mar 27, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Melbourne, FL. The record was last updated on Oct 12, 2026.