DR. KENNETH WALLACE III, MD
Dermatology - MOHS-Micrographic Surgery
Active
Individual
NPI: 1295791754
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | No | ME73625 (FL) |
| Dermatology - Procedural Dermatology | 207NS0135X | No | ME73625 (FL) |
| Dermatology - MOHS-Micrographic Surgery | 207ND0101X | Yes | ME73625 (FL) |
Frequently Asked Questions
NPI 1295791754 is the National Provider Identifier for DR. KENNETH WALLACE III, MD, a Dermatology - MOHS-Micrographic Surgery provider located in Ocala, FL. This NPI was enumerated on April 25, 2006.
DR. KENNETH WALLACE III, MD practices at 1091 SE 59TH ST, Ocala, FL 34480.
Quick Facts
- NPI
- 1295791754
- Type
- Individual
- Enumerated
- Apr 25, 2006
- Last Updated
- Apr 2, 2020
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