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

Kimberly Theresa McClintock-Walla, NP

Individual provider Pain Medicine Physician · NPI 1750163705

Kimberly Theresa McClintock-Walla, NP is a Pain Medicine Physician in Pearl River, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

67 S Main St
Pearl River, NY 10965-2444
Phone: (845) 368-0800
Fax: (845) 368-0810
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 311577 (NY)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 311577 (NY)

Record details

NPI number1750163705
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 16, 2023
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023