Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH K WALLACE, M.D.

Active

DR. KENNETH K WALLACE, M.D. is a Specialist healthcare provider located in FORT SMITH, Arkansas. NPI 1598737405 is currently active in the NPPES registry. Verify at CMS.

Specialist · FORT SMITH, AR

Registration Details

NPI Number: 1598737405
Provider Type: Individual
Gender: Male
NPI Issued: Feb 3, 2006 (20.382525611289 yrs)
Last Updated: Jul 8, 2007
License: R2091 (AR)

Practice Information

Address: 3000 ROGERS AVE

FORT SMITH, AR, 729014232
Browse AR providers · Browse ZIP 72901
Phone: 4797828892
Fax: 4797828840
Primary Specialty: Specialist
174400000X

Other Specialist Providers in FORT SMITH, AR

Name	Credential	NPI
MR. JAMES LEON CHESHIER	M.D., P.A.	1730186875
GARY D FINE	D.O., F.A.C.C.	1245231828
JOSE A ALEMPARTE	M.D.	1679574255
DR. RONALD L KANTOLA	DO	1265412506
DR. GARY V FELKER	M.D.	1619949500
MRS. CAROLYN SUE SLOTE	P.T.	1285836577

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.