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

Kimberly Taylor Bundick, PA-C, MMSC

Individual provider Physician Assistant · NPI 1104328699

Kimberly Taylor Bundick, PA-C, MMSC is a Physician Assistant in New York, New York. Licensed in New York and Texas. Registered with an NPI since 2018.

Licensed in
NY, TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023714-01 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA11832 (TX)

Record details

NPI number1104328699
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MMSC
Sole proprietorNo
NPI enumeratedMarch 1, 2018
Last updated in NPPESOctober 6, 2019

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