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

KIMBERLY S WALLACE MD LLC

Active Organization

KIMBERLY S WALLACE MD LLC is a Family Medicine organization located in GAMBRILLS, Maryland. NPI 1790537132 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GAMBRILLS, MD

Registration Details

NPI Number
1790537132
Provider Type
Organization
NPI Issued
Apr 1, 2024 (2.3637590559263 yrs)
Last Updated
Apr 1, 2024

Practice Information

Address
1438 DEFENSE HWY STE 201
GAMBRILLS, MD, 210542021
Browse MD providers · Browse ZIP 21054
Phone
4107213200
Fax
8779224349
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in GAMBRILLS, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.