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Kenora S Wallace
Chiropractor in Horn Lake, Mississippi
NPI 1366158859

Kenora S Wallace is a Chiropractor based in Horn Lake, MS. Kenora S Wallace practices in Horn Lake, MS. The NPI Number for Kenora S Wallace is 1366158859 and holds a License No. 1367 (Mississippi).

The current practice location address for Kenora S Wallace is 2085 Goodman Rd W Ste 8, Horn Lake, MS and can be reached out via phone at 662-890-0012.

Location: 2085 Goodman Rd W Ste 8, Horn Lake, MS, 38637-1416
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Provider Profile Details
NPI Number
1366158859
Provider Name
Kenora S Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
2085 Goodman Rd W Ste 8, Horn Lake, MS, 38637-1416
Phone Number
662-890-0012
Fax Number
Provider Enumeration Date
01/27/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1367 01 MS LICENSE
institution
Provider Business Practice Location Address Details
Address
2085 Goodman Rd W Ste 8
City
State
Zip
38637-1416
Phone Number
662-890-0012
Fax Number
person
Provider Business Mailing Address Details
Address
2085 Goodman Rd W Ste 8
City
State
Zip
38637-1416
Phone Number
662-890-0012
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
1367 (Mississippi)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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