KIMBERLY THERESA MCCLINTOCK-WALLA NP
NPI 1750163705
Nurse Practitioner - Adult Health in Pearl River, NY

Q: What is Kimberly Mcclintock-walla's NPI number?

The NPI number for Kimberly Mcclintock-walla is 1750163705. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Q: What is Kimberly Mcclintock-walla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since October 16, 2023

67 S MAIN ST, PEARL RIVER, NY 10965(845) 368-0800(845) 368-0810 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Theresa Mcclintock-walla Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY THERESA MCCLINTOCK-WALLA NP (NPI 1750163705) is an individual adult health provider in Pearl River, New York, licensed in New York (311577) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1750163705

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKIMBERLY THERESA MCCLINTOCK-WALLACredential: NP

Location Address67 S MAIN STPearl River, NY 10965-2444

Mailing Address67 S Main StPearl River, NY 10965-2444 · (845) 368-0800 · Fax (845) 368-0810

Phone(845) 368-0800

Fax(845) 368-0810

Sole ProprietorNo

Enumeration DateOctober 16, 2023

NPPES CertifiedOctober 16, 2023

✔ NPI 1750163705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 311577

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 311577 (NY)

67 S MAIN ST, Pearl River, NY 10965

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAMERCY MEDICAL PAIN MANAGEMENT P.A.

Specialist

67 S MAIN ST
PEARL RIVER, NY 10965

Rockland County (845) 368-0800

ASKENAS CHIROPRACTIC PC

Chiropractor

67 S MAIN ST
PEARL RIVER, NY 10965

Rockland County (845) 735-3737

DR. SCOTT LAWRENCE GOTTLIEB M.D.

Anesthesiology (Pain Medicine)

67 S MAIN ST
PEARL RIVER, NY 10965

Rockland County (845) 368-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Mcclintock-walla's NPI number?

The NPI number for Kimberly Mcclintock-walla is 1750163705. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Kimberly Mcclintock-walla located?

Kimberly Mcclintock-walla practices at 67 S Main St, Pearl River, NY 10965. The listed phone number is (845) 368-0800.

What is Kimberly Mcclintock-walla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kimberly Mcclintock-walla was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.