DR. KENNETH WALLACE, M.D.
Specialist
Active
Individual
NPI: 1598737405
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | R2091 (AR) |
Frequently Asked Questions
NPI 1598737405 is the National Provider Identifier for DR. KENNETH WALLACE, M.D., a Specialist provider located in Fort Smith, AR. This NPI was enumerated on February 3, 2006.
DR. KENNETH WALLACE, M.D. practices at 3000 ROGERS AVE, Fort Smith, AR 72901.
Quick Facts
- NPI
- 1598737405
- Type
- Individual
- Enumerated
- Feb 3, 2006
- Last Updated
- Jul 8, 2007
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