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.
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
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 03385908 (NY)