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

Mr. Kevin Alan Wall, FNP

Individual provider Family Nurse Practitioner · NPI 1386292357

Mr. Kevin Alan Wall, FNP is a Family Nurse Practitioner in Vestal, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

200 Frnt ST Ste C
Vestal, NY 13850-1559
Phone: (607) 239-5694
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 344995 (NY)

Record details

NPI number1386292357
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 3, 2019
Last updated in NPPESSeptember 3, 2019

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