DR. KEVIN WALLACE, MD

Internal Medicine - Pulmonary Disease

Active Individual
NPI: 1033195631

Practice Address

1350 HICKORY ST
Melbourne, FL 32901

Phone: (321) 434-4225

Specialties

Specialty Code Primary License
Internal Medicine - Critical Care Medicine 207RC0200X No ME81186 (FL)
Internal Medicine - Sleep Medicine 207RS0012X No ME81186 (FL)
Hospitalist 208M00000X No ME81186 (FL)
Internal Medicine - Pulmonary Disease 207RP1001X Yes ME81186 (FL)

Frequently Asked Questions

NPI 1033195631 is the National Provider Identifier for DR. KEVIN WALLACE, MD, a Internal Medicine - Pulmonary Disease provider located in Melbourne, FL. This NPI was enumerated on December 16, 2005.
DR. KEVIN WALLACE, MD practices at 1350 HICKORY ST, Melbourne, FL 32901.

Quick Facts

NPI
1033195631
Type
Individual
Enumerated
Dec 16, 2005
Last Updated
Aug 26, 2022

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