Dr. Kenneth K Wallace, MD - Fort Smith, AR

Dr. Kenneth K Wallace, MD

Specialist in Fort Smith, Arkansas

NPI 1598737405

Kenneth K Wallace is a Specialist based in Fort Smith, AR. Kenneth K Wallace practices in Fort Smith, AR and has the professional credentials of MD. The NPI Number for Kenneth K Wallace is 1598737405 and holds a License No. R2091 (Arkansas).

The current practice location address for Kenneth K Wallace is 3000 Rogers Ave, Fort Smith, AR and can be reached out via phone at 479-782-8892 and via fax at 479-782-8840.

Location: 3000 Rogers Ave, Fort Smith, AR, 72901-4232

NPI Number

1598737405

Provider Name

Kenneth K Wallace

Credential

Provider Entity Type

Individual

Gender

Male

Address

3000 Rogers Ave, Fort Smith, AR, 72901-4232

Phone Number

479-782-8892

Fax Number

479-782-8840

Provider Enumeration Date

02/03/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
55462	01	AR	BCBS

Address

3000 Rogers Ave

City

Fort Smith

State

Arkansas

Zip

72901-4232

Phone Number

479-782-8892

Fax Number

479-782-8840

Address

3000 Rogers Ave

City

Fort Smith

State

Arkansas

Zip

72901-4232

Phone Number

479-782-8892

Fax Number

479-782-8840

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

R2091 (Arkansas)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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