National Provider Identifier

Kimberly Jo Tuttle, PA

Kimberly Jo Tuttle, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Canandaigua, NY and a listed phone number of (585) 393-3515.

NPI 1558560995Canandaigua, NYMedical Physician Assistant

Source: public NPPES record, last updated July 28, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI: 1558560995
Provider Type: Individual
Primary Specialty: Medical Physician Assistant
Enumeration Date: July 16, 2007
Last Updated: July 28, 2016

Practice Location

495 N Main St
Canandaigua, NY 14424-1283

Phone: (585) 393-3515

Specialties

Medical Physician Assistant (363AM0700X)

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Biography

Kimberly Jo Tuttle, PA, is a New York-licensed physician assistant based in Canandaigua. Public credentialing records identify her professional license in New York and list her clinical practice location in the Canandaigua community.

Full Record

NPI: 1558560995
Entity Type: Individual
Last Name: Tuttle
First Name: Kimberly
Middle Name: Jo
Credential: PA
Provider Other Last Name: Willis
Provider Other First Name: Kimberly
Provider Other Middle Name: Jo
Provider Other Last Name Type Code: 1
Mailing Street Address: 495 N Main St
Mailing City: Canandaigua
Mailing State: NY
Mailing ZIP Code: 14424-1283
Mailing Country: US
Mailing Phone: (585) 393-3515
Practice Street Address: 495 N Main St
Practice City: Canandaigua
Practice State: NY
Practice ZIP Code: 14424-1283
Practice Country: US
Practice Phone: (585) 393-3515
Practice Fax: (585) 393-3515
Enumeration Date: July 16, 2007
Last Updated: July 28, 2016
Sex: Female
Sole Proprietor: No
Taxonomies: Medical Physician Assistant (363AM0700X)
Other Identifiers: 03385908 (NY)