location
search-icon
person
Kendall E Wallace, APRN
Family Nurse Practitioner in Urbana, Illinois
NPI 1003391061

Kendall E Wallace is a Family Nurse Practitioner based in Urbana, IL and is specialized in Family. Kendall E Wallace practices in Urbana, IL and has the professional credentials of APRN. The NPI Number for Kendall E Wallace is 1003391061 and holds a License No. 209017908 (Illinois).

The current practice location address for Kendall E Wallace is 611 W Park St, Urbana, IL and can be reached out via phone at 217-383-3311.

Location: 611 W Park St, Urbana, IL, 61801-2501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003391061
Provider Name
Kendall E Wallace
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
611 W Park St, Urbana, IL, 61801-2501
Phone Number
217-383-3311
Fax Number
Provider Enumeration Date
09/26/2018
Last Update Date
04/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
041412378 01 IL RN LICENSE
institution
Provider Business Practice Location Address Details
Address
611 W Park St
City
Urbana
State
Illinois
Zip
61801-2529
Phone Number
217-383-3311
Fax Number
person
Provider Business Mailing Address Details
Address
611 W Park St
City
Urbana
State
Illinois
Zip
61801-2529
Phone Number
217-383-3311
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209017908 (Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.