Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH C WALLIS, M.D.
ActiveDR. KENNETH C WALLIS, M.D. is a Psychiatry healthcare provider located in DAVIS, California. NPI 1649243692 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · DAVIS, CA
Registration Details
- NPI Number
- 1649243692
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2006 (20.366279089656 yrs)
- Last Updated
- Jul 9, 2021
- Licenses
-
C-41960 (CA)811674181205 (UT)
Practice Information
- Address
-
1260 LAKE BLVDSUITE #214DAVIS, CA, 956162614Browse CA providers · Browse ZIP 95616
- Phone
- 5307712308
- Fax
- 5307712309
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in DAVIS, CA
| Name | Credential | NPI |
|---|---|---|
| PAUL DAMIAN COX | M.D. | 1790769834 |
| DR. DENNETT JOHN HANSSMANN | M.D. | 1265456081 |
| DR. PHACHARAWUT KANCHANANAKHIN | MD | 1114031721 |
| CATHERINE SCHUYLER BRENNAN | MD | 1346354990 |
| SEEMA KHAN | M.D. | 1295842540 |
| CELESTE WISER | M.D. | 1912003906 |
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.