MS. KIMBERLY ELAINE DESSOFFY WALLIS M.S.
NPI 1184058075
Genetic Counselor, MS in Cleveland, OH

Active since August 27, 2013
11100 EUCLID AVE, 1500 LAKESIDE, CLEVELAND, OH 44106(216) 844-3936(216) 844-7497 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Oct 19, 2018 (2 updates tracked since 2018).

  • Individual
  • Female
  • Genetic Counselor, MS

About KIMBERLY WALLIS

This page provides the complete NPI Profile along with additional information for Kimberly Wallis, a provider established in Cleveland, Ohio with a medical specialization in Genetic Counselor, Ms. The healthcare provider is registered in the NPI registry with number 1184058075 assigned on August 2013. The practitioner's primary taxonomy code is 170300000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1184058075 Verify this NPI
Provider Name
MS. KIMBERLY ELAINE DESSOFFY WALLIS M.S.
Gender
Female
Entity Type
Individual
Location Address
11100 EUCLID AVE 1500 LAKESIDE CLEVELAND, OH 44106
Location Phone
(216) 844-3936
Location Fax
(216) 844-7497
Mailing Address
300 LOCUST ST STE 500 AKRON, OH 44302
Mailing Phone
(330) 543-4197
Mailing Fax
(330) 543-3677
Is Sole Proprietor?
No
Enumeration Date
08-27-2013
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Genetic Counselor, MS

Taxonomy Code
170300000X
Type
Other Service Providers
Taxonomy Description
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.

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Pediatrics (Pediatric Gastroenterology)
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Internal Medicine (Cardiovascular Disease)
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Pediatrics (Neonatal-Perinatal Medicine)
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Anesthesiology
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Nurse Practitioner
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Nurse Practitioner (Gerontology)
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Surgery
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184058075, enumerated as an "individual" on August 27, 2013.

The provider is located at 11100 EUCLID AVE 1500 LAKESIDE CLEVELAND, OH 44106 and the phone number is (216) 844-3936.

Genetic Counselor, MS with taxonomy code 170300000X.