Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Ann Tacconi, PAC

Individual provider Physician Assistant · NPI 1598731028

Kimberly Ann Tacconi, PAC is a Physician Assistant in Schnecksville, Pennsylvania. Qualified in 1996, 30 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
30
Licensed in
PA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

4110 Independence Dr Ste 300
Schnecksville, PA 18078
Phone: (610) 769-4200
Fax: (610) 769-4204
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA002219L (PA)

Record details

NPI number1598731028
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESOctober 27, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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