DR. KYLE LEONARD WACHALA DPM NPI 1962142885

NPI Information

  • NPI: 1962142885
  • Provider Name: DR. KYLE LEONARD WACHALA, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 207 FOOTE AVE
    JAMESTOWN, NY
    ZIP 14701
  • Phone: (716) 483-2200

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NPI Details

DR. Kyle Leonard Wachala, DPM is a foot and ankle surgery podiatrist in Jamestown, NY with 4 years of experience. DR. Kyle Leonard Wachala, DPM NPI is 1962142885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2022

The provider's business location address is:

207 FOOTE AVE
JAMESTOWN, NY
ZIP 14701-077
Phone: (716) 483-2200

The NPI 1962142885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/30/2022 and was last updated on 8/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery7455-01NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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