Kenneth A Wallace is a Dermatology in Ocala, Florida. Kenneth A Wallace practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Kenneth A Wallace is 1295791754. The last update date is 2020-04-02.
Kenneth A Wallace's current location address is 1091 Se 59th St, Ocala, Florida. You can contact this provider via phone number 8505970324. The mailing address for Kenneth A Wallace is 1091 Se 59th St, Ocala, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth A Wallace |
|---|---|
| Address | 1091 Se 59th St, Ocala, Florida |
| Phone Number | 8505970324 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295791754 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2020-04-02 |
Provider Mailing Address Detail
| Address | 1091 Se 59th St |
|---|---|
| City | Ocala |
| State | Florida (FL) |
| Post Code | 344806146 |
| Phone Number | 8505970324 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | ME73625 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 651600 | FL | -- |
Post Comment/ Review Below
What is the Kenneth A Wallace's unique identification number?
The Kenneth A Wallace has been assigned the NPI (National Provider Identifier) Number 1295791754 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kenneth A Wallace's facilities are situated?
The facilities of Kenneth A Wallace are physically located at the following address: 1091 Se 59Th St, Ocala, FL, 344806146.
What is the area of specialization for Kenneth A Wallace, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth A Wallace is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
On what date was the 1295791754 assigned to Kenneth A Wallace?
The Kenneth A Wallace was issued its 1295791754 on 2006-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenneth A Wallace's details last updated?
The information pertaining to the Kenneth A Wallace, including its address, specialty, and other details, was most recently updated on 2020-04-02.