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

Kimberly Ann Vonderlieth, PA

Individual provider Medical Physician Assistant · NPI 1396917522

Kimberly Ann Vonderlieth, PA is a Physician Assistant in Melbourne, Florida. Qualified in 1993, 33 years ago. Practices with Ability Health Services, Inc, a 1,232-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
33
Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1251 Hickory St
Melbourne, FL 32901-3221
Phone: (321) 434-3420
Fax: (321) 434-3423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 Hickory St, Melbourne, FL 32901-3224 — (321) 434-3420

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9101648 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9101648 (FL)

Record details

NPI number1396917522
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 27, 2008
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Ability Health Services, Inc — 1232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Melbourne