National Provider Identifier

Kyle Leonard Wachala, DPM

Kyle Leonard Wachala, DPM is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist in Jamestown, NY and a listed phone number of (716) 483-2200.

NPI 1962142885Jamestown, NYFoot & Ankle Surgery Podiatrist

Profile Overview

NPI
1962142885
Provider Type
Individual
Primary Specialty
Foot & Ankle Surgery Podiatrist
Enumeration Date
March 30, 2022
Last Updated
August 06, 2025

Practice Location

  • 207 Foote Ave
  • Jamestown, NY 14701-7077

Phone: (716) 483-2200

Specialties

  • Foot & Ankle Surgery Podiatrist (213ES0103X)
Full Record
NPI
1962142885
Entity Type
Individual
Last Name
Wachala
First Name
Kyle
Middle Name
Leonard
Name Prefix
Dr.
Credential
DPM
Mailing Street Address
207 Foote Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-7077
Mailing Country
US
Mailing Phone
(716) 483-2200
Practice Street Address
207 Foote Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-7077
Practice Country
US
Practice Phone
(716) 483-2200
Enumeration Date
March 30, 2022
Last Updated
August 06, 2025
Sex
Male
Sole Proprietor
No
Certification Date
August 06, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Foot & Ankle Surgery Podiatrist (213ES0103X)