Active NPIIndividual provider

Kristen S Wallis, MD

Pediatrics in Hamden, Connecticut

NPI Number1568662492
Practice location
299 Washington Ave, Hamden, CT 06518-3026
Fax
855-414-4010
Last updated
April 30, 2021

Kristen S Wallis is a Pediatrics based in Hamden, CT. Kristen S Wallis practices in Hamden, CT and has the professional credentials of MD. The NPI Number for Kristen S Wallis is 1568662492 and holds a License No. 244100 (NY). The current practice location address for Kristen S Wallis is 299 Washington Ave, Hamden, CT 06518-3026 and can be reached out via phone at 203-288-4288 and via fax at 855-414-4010.

Provider Profile Details

NPI Number
1568662492
Provider Name
Kristen S Wallis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
299 Washington Ave, Hamden, CT 06518-3026
Phone Number
203-288-4288
Fax Number
855-414-4010
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2007
Last Update Date
April 30, 2021
Certification Date
April 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
299 Washington Ave
Hamden, CT 06518-3026
City
Hamden
Zip
06518-3026
Phone Number
203-288-4288
Fax Number
855-414-4010
Hamden, CT 06518Get directions →

Provider Business Mailing Address Details

Address
299 Washington Ave
Hamden, CT 06518-3026
City
Hamden
State
CT
Zip
06518-3026
Phone Number
203-288-4288
Fax Number
203-288-1566

License Information

License Number (1)
244100
License State (1)
NY
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
046513
License State (2)
CT
Taxonomy (2)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Pediatrics providers near Hamden, CT

View all Pediatrics providers in Hamden →

Frequently Asked Questions

What is the NPI number of Kristen S Wallis, MD?

The NPI number of Kristen S Wallis, MD is 1568662492. It was assigned on July 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Kristen S Wallis, MD?

Kristen S Wallis, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 244100.

Where does Kristen S Wallis, MD practice?

The practice location is 299 Washington Ave, Hamden, CT 06518-3026. The office can be reached at 203-288-4288 (phone) or 855-414-4010 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568662492 directly on the NPPES registry website.

Browse related providers