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

Kimberly Gurdy Innocent, PA

Individual provider Physician Assistant · NPI 1922518786

Kimberly Gurdy Innocent, PA is a Physician Assistant in Jamaica, New York. Qualified in 2017, 9 years ago. Practices with Am Pm Walk in Urgent Care Clinic, a 71-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

8268 164th St
Jamaica, NY 11432-1121
Phone: (718) 883-3070
Fax: (718) 883-6115
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 021458 (NY)

Record details

NPI number1922518786
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 6, 2017
Last updated in NPPESOctober 6, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Am Pm Walk In Urgent Care Clinic — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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