National Provider Identifier
Evonne Kristen Iman, PA-C
Evonne Kristen Iman, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 475-2411.
Profile Overview
- NPI
- 1952292500
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 11, 2025
- Last Updated
- July 14, 2025
Practice Location
- 1 Lomb Memorial Dr
- Rochester, NY 14623-5603
Phone: (585) 475-2411
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1952292500
- Entity Type
- Individual
- Last Name
- Iman
- First Name
- Evonne
- Middle Name
- Kristen
- Credential
- PA-C
- Mailing Street Address
- 1 Lomb Memorial Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-5603
- Mailing Country
- US
- Practice Street Address
- 1 Lomb Memorial Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-5603
- Practice Country
- US
- Practice Phone
- (585) 475-2411
- Enumeration Date
- July 11, 2025
- Last Updated
- July 14, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 14, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)