Individual provider · Type 1 NPI

Kelleyayn Wallace, PA

Physician Assistant · Rochester, NY

NPI number 1831290717 Active

Practice location

2080 Clinton Ave South
Rochester, NY 14618

Fax (585) 271-0375

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X011509 (NY)

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…

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About NPI 1831290717

Kelleyayn Wallace, PA's National Provider Identifier is 1831290717, issued on Sep 26, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rochester, NY. The record was last updated on Dec 9, 2015.