Walter D Kimberlin Jr. (NPI# 1316004781, PAC ID# 4284643578) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1316004781 |
| PAC ID by PECOS | 4284643578 |
| Professional Enrollment ID | I20060414000006 |
| Full Name | Walter D Kimberlin Jr. |
| Address |
327 Broadway Port Ewen NY 12466-5501 |
| Phone Number | 8453318810 |
| Gender | M |
| Credential | DC |
| Medical School | PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE |
| Graduation Year | 2000 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 327 Broadway, Port Ewen, NY 12466-5501 | 8453318810 |
| Street Address |
327 BROADWAY |
| City | PORT EWEN |
| State | NY |
| Zip | 12466-5501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaycie A Kimberlin | Chiropractic | 327 Broadway, Port Ewen, NY 12466-5501 | |
| Jamie D Bovair | Nurse Practitioner | Glens Falls Hospital Inc | 327 Broadway, Fort Edward, NY 12828-1233 |
| Pamela A Casey | Nurse Practitioner | Glens Falls Hospital Inc | 327 Broadway, Fort Edward, NY 12828-1233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel Panthappattu | Family Medicine | The Institute for Family Health | 213 Broadway, Port Ewen, NY 12466-7769 |
| Aimee Smith | Family Medicine | The Institute for Family Health | 213 Broadway, Port Ewen, NY 12466-7769 |
| City | PORT EWEN |
| Zip Code | 12466 |
| Specialty | CHIROPRACTIC |
| City + Specialty | PORT EWEN + CHIROPRACTIC |
Please comment or provide details below to improve the information on Walter D Kimberlin Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.