Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN H WALLACE, MD
Active Sole ProprietorDR. KEVIN H WALLACE, MD is a Pulmonary Disease healthcare provider located in MELBOURNE, Florida. NPI 1033195631 is currently active in the NPPES registry. Verify at CMS.
Pulmonary Disease · MELBOURNE, FL
Registration Details
- NPI Number
- 1033195631
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2005 (20.680115219764 yrs)
- Last Updated
- Aug 26, 2022
- Licenses
-
ME81186 (FL)ME81186 (FL)ME81186 (FL)ME81186 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1350 HICKORY STMELBOURNE, FL, 329013224Browse FL providers · Browse ZIP 32901
- Phone
- 3214344225
- Fax
- 3214344247
- Primary Specialty
-
Pulmonary Disease
207RP1001X
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Hospitalist
- Additional Specialty
- Pulmonary Disease
Other Pulmonary Disease Providers in MELBOURNE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ASHISH MAHINDRA | M.D. | 1235131145 |
| HOMER PHILLIPS STALL | MD | 1558346601 |
| SIMMY JERRY PINTO | MD | 1235197781 |
| PARVESH K. BANSAL | M.D. | 1548293442 |
| ARUN KOSHY | MD | 1710907936 |
| DR. DENNIS K KING | MD | 1710043054 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.