Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEN CARLSON WALLS, PHD, MPAS, DO
Active Sole ProprietorDR. KEN CARLSON WALLS, PHD, MPAS, DO is a Internal Medicine healthcare provider located in RIVERSIDE, California. NPI 1992162242 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · RIVERSIDE, CA
Registration Details
- NPI Number
- 1992162242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2016 (10.566724863842 yrs)
- Last Updated
- Sep 26, 2023
- License
-
PTL1723 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10800 MAGNOLIA AVERIVERSIDE, CA, 925053043Browse CA providers · Browse ZIP 92505
- Phone
- 9513532000
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| JACQUELINE GESNER AGCAOILI | MD | 1124022108 |
| DR. CHRISTOPHER JAMES SWANSON | M.D. | 1023016847 |
| DR. CARL WOLNISTY | M.D. | 1912906140 |
| BENJAMIN CHUNG | MD | 1326031923 |
| PRAVIN M PANCHAL | MD | 1992799530 |
| DEREK NGUYEN | MD | 1528054095 |
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.