Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH A WALLACE III, MD
ActiveDR. KENNETH A WALLACE III, MD is a Obesity Medicine healthcare provider located in OCALA, Florida. NPI 1295791754 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · OCALA, FL
Registration Details
- NPI Number
- 1295791754
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2006 (20.328768520802 yrs)
- Last Updated
- Apr 2, 2020
- Licenses
-
ME73625 (FL)ME73625 (FL)ME73625 (FL)
Practice Information
- Address
-
1091 SE 59TH STOCALA, FL, 344806146Browse FL providers · Browse ZIP 34480
- Phone
- 8505970324
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Obesity Medicine
Other Obesity Medicine Providers in OCALA, FL
| Name | Credential | NPI |
|---|---|---|
| MS. VALENTINA BRADLEY KALBAUGH | MD | 1902898083 |
| DR. JESSIN HELMRICK-BLOSSOM | M.D. | 1265661680 |
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.