person
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. You can also correspond with Kenneth K Wallace through the mailing address at 3000 ROGERS AVE, FORT SMITH, AR - 72901-4232 (mailing address contact number: 479-782-8892).

Location: 3000 Rogers Ave, Fort Smith, AR, 72901-4232
person
Provider Profile Details
NPI Number
1598737405
Provider Name
Kenneth K Wallace
Credential
MD
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
55462 01 AR BCBS
institution
Provider Business Practice Location Address Details
Address
3000 Rogers Ave
City
State
Zip
72901-4232
Phone Number
479-782-8892
Fax Number
479-782-8840
person
Provider Business Mailing Address Details
Address
3000 Rogers Ave
City
State
Zip
72901-4232
Phone Number
479-782-8892
Fax Number
479-782-8840
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
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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