Provider Demographics
NPI:1023044450
Name:VOELKER, KIMBERLY AMATRUDA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:AMATRUDA
Last Name:VOELKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:AMATRUDA
Other - Last Name:DUDRAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:125 RED CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-4272
Mailing Address - Country:US
Mailing Address - Phone:585-487-1700
Mailing Address - Fax:585-321-1724
Practice Address - Street 1:125 RED CREEK DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4272
Practice Address - Country:US
Practice Address - Phone:585-487-1700
Practice Address - Fax:585-321-1724
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006096363AM0700X
NY6096363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
02286753OtherMED
109052DLOtherPFC
P019006096OtherBC
02286753OtherMED