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1023044450 NPI number — KIMBERLY AMATRUDA VOELKER PA-C

NPI Number: 1023044450
Health Care Provider/Practitioner: KIMBERLY AMATRUDA VOELKER PA-C

Information about “1023044450” NPI (KIMBERLY AMATRUDA VOELKER PA-C) exists in 1023044450 in HTML format HTML  |  1023044450 in plain Text format TXT  |  1023044450 in PDF (Portable Document Format) PDF  |  1023044450 in an XML format XML  formats.

NPI Number : 1023044450 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023044450",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VOELKER",
    "FirstName": "KIMBERLY",
    "MiddleName": "AMATRUDA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DUDRAK",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": "AMATRUDA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "125 RED CREEK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCHESTER",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14623-4272",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "585-487-1700",
    "MailingAddressFaxNumber": "585-321-1724",
    "FirstLinePracticeLocationAddress": "125 RED CREEK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCHESTER",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14623-4272",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "585-487-1700",
    "PracticeLocationAddressFaxNumber": "585-321-1724",
    "EnumerationDate": "06/25/2006",
    "LastUpdateDate": "07/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "006096",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "6096",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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