MEDICARE: MRS. KIMBERLY AMATRUDA VOELKER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	006096	NY
2	363AM0700X	Medical Physician Assistant	6096	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	02286753	OTHER	MED
2	109052DL	OTHER	PFC
3	P019006096	OTHER	BC

General Provider Information

NPI Number	:	1023044450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY AMATRUDA VOELKER PA-C

Provider Business Mailing Address
First Line	:	125 RED CREEK DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-4272
Country	:	US
Telephone Number	:	585-487-1700
Fax Number	:	585-321-1724

Provider Business Practice Location Address
First Line	:	125 RED CREEK DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-4272
Country	:	US
Telephone Number	:	585-487-1700
Fax Number	:	585-321-1724

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	07/30/2025

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Directions to “ MRS. KIMBERLY AMATRUDA VOELKER PA-C” Practice Location

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