National Provider Identifier
Kiersten Marie Vick, PA
Kiersten Marie Vick, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-4711.
Profile Overview
- NPI
- 1972956324
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 21, 2016
- Last Updated
- October 04, 2019
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-4122
Phone: (585) 275-4711
Mailing Address
- 601 Elmwood Avenue Box Med
- Rochester, NY 14642-0001
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1972956324
- Entity Type
- Individual
- Last Name
- Vick
- First Name
- Kiersten
- Middle Name
- Marie
- Credential
- PA
- Provider Other Last Name
- Simmons
- Provider Other First Name
- Kiersten
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 601 Elmwood Avenue Box Med
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-4711
- Mailing Fax
- (585) 276-0101
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-4122
- Practice Country
- US
- Practice Phone
- (585) 275-4711
- Practice Fax
- (585) 276-0101
- Enumeration Date
- July 21, 2016
- Last Updated
- October 04, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)