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Mr. William S Wallace, APNP
Family Nurse Practitioner in El Dorado, Kansas
NPI 1467429860

William S Wallace is a Family Nurse Practitioner based in El Dorado, KS and is specialized in Family. William S Wallace practices in El Dorado, KS and has the professional credentials of APNP. The NPI Number for William S Wallace is 1467429860 and holds a License No. KS44943 (Kansas).

The current practice location address for William S Wallace is 700 W Central Ave, El Dorado, KS and can be reached out via phone at 316-322-9813 and via fax at 316-322-9806.

Location: 700 W Central Ave, El Dorado, KS, 67042-2184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467429860
Provider Name
William S Wallace
Credential
APNP
Provider Entity Type
Individual
Gender
Male
Address
700 W Central Ave, El Dorado, KS, 67042-2184
Phone Number
316-322-9813
Fax Number
316-322-9806
Provider Enumeration Date
03/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 KS
institution
Provider Business Practice Location Address Details
Address
700 W Central Ave
City
El Dorado
State
Kansas
Zip
67042-2184
Phone Number
316-322-9813
Fax Number
316-322-9806
person
Provider Business Mailing Address Details
Address
700 W Central Ave
City
El Dorado
State
Kansas
Zip
67042-2184
Phone Number
316-322-9813
Fax Number
316-322-9806
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
KS44943 (Kansas)
Definition
Definition to come...
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