Provider Demographics
NPI:1205055738
Name:VOLK, KIMBERLY ANNE (ND , FNP)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANNE
Last Name:VOLK
Suffix:
Gender:F
Credentials:ND , FNP
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Mailing Address - Street 1:8775 COTTAGE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH DAYTON
Mailing Address - State:NY
Mailing Address - Zip Code:14138-9705
Mailing Address - Country:US
Mailing Address - Phone:480-518-1486
Mailing Address - Fax:
Practice Address - Street 1:1 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:GOWANDA
Practice Address - State:NY
Practice Address - Zip Code:14070-1133
Practice Address - Country:US
Practice Address - Phone:716-241-7067
Practice Address - Fax:833-464-5024
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY354596363LF0000X
AZ06-927175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No175F00000XOther Service ProvidersNaturopath