Kimberly Theresa Mcclintock-walla, NP - Nurse Practitioner in Pearl River, NY

Kimberly Theresa Mcclintock-walla, NP is a Nurse Practitioner - Adult Health physician based in Pearl River, New York. Kimberly Theresa Mcclintock-walla is licensed to practice in New York (license number 311577) and her current practice location is 67 S Main St, Pearl River, New York. She can be reached at her office (for appointments etc.) via phone at (845) 368-0800.

NPI number for Kimberly Theresa Mcclintock-walla is 1750163705 and her current mailing address is 67 S Main St, Pearl River, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750163705.

Contact Information

Kimberly Theresa Mcclintock-walla, NP
67 S Main St,
Pearl River, NY 10965-2444
(845) 368-0800
(845) 368-0810



Physician's Profile

Full NameKimberly Theresa Mcclintock-walla
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location67 S Main St, Pearl River, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750163705
  • Provider Enumeration Date: 10/16/2023
  • Last Update Date: 10/16/2023

Medical Identifiers

Medical identifiers for Kimberly Theresa Mcclintock-walla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750163705NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0000XPain Medicine - Pain Medicine 311577 (New York)Secondary
363LA2200XNurse Practitioner - Adult Health 311577 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Theresa Mcclintock-walla is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Theresa Mcclintock-walla, NP
67 S Main St,
Pearl River, NY 10965-2444

Ph: (845) 368-0800
Kimberly Theresa Mcclintock-walla, NP
67 S Main St,
Pearl River, NY 10965-2444

Ph: (845) 368-0800

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