Provider Demographics
NPI:1770372534
Name:TRUVER, KIMBERLY (PA)
Entity type:Individual
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First Name:KIMBERLY
Middle Name:
Last Name:TRUVER
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Credentials:PA
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Mailing Address - Street 1:816 FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-2545
Mailing Address - Country:US
Mailing Address - Phone:716-664-2589
Mailing Address - Fax:716-483-3050
Practice Address - Street 1:816 FAIRMOUNT AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-2545
Practice Address - Country:US
Practice Address - Phone:716-664-2589
Practice Address - Fax:716-483-3050
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
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Provider Licenses
StateLicense IDTaxonomies
NY033623-01363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant