Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN R WALLACE
Active Sole ProprietorMR. KEVIN R WALLACE is a Case Manager healthcare provider located in CANFIELD, Ohio. NPI 1033619614 is currently active in the NPPES registry. Verify at CMS.
Case Manager · CANFIELD, OH
Registration Details
- NPI Number
- 1033619614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2018 (8.441849495959 yrs)
- Last Updated
- Feb 20, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
3620 STUTZ DRCANFIELD, OH, 444069176Browse OH providers · Browse ZIP 44406
- Phone
- 3302863173
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in CANFIELD, OH
| Name | Credential | NPI |
|---|---|---|
| CLIFF DELMAR PHILLIPS | — | 1215280193 |
| LEONARD DULAY | — | 1134466386 |
| MR. THOMAS PHILLIP SCALA | QMHS | 1508366188 |
| MRS. JULIE NICOLE AUSTALOSH | — | 1952802282 |
| KELCEY JEAN GAUDET | CASE MANAGER | 1841784329 |
| GARRETT AGLER | — | 1538704507 |
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.