Kevin H Wallace in Melbourne - Critical Care Medicine
Kevin H Wallace - NPI 1033195631
Kevin H Wallace is a Critical Care Medicine in Melbourne, Florida. Kevin H Wallace practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Kevin H Wallace is 1033195631. The last update date is 2022-08-26.
Kevin H Wallace's current location address is 1350 Hickory St, Melbourne, Florida. You can contact this provider via phone number 3214344225 and fax number 3214344247. The mailing address for Kevin H Wallace is 1350 Hickory St, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin H Wallace |
|---|---|
| Address | 1350 Hickory St, Melbourne, Florida |
| Phone Number | 3214344225 |
| Fax Number | 3214344247 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033195631 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2022-08-26 |
Provider Mailing Address Detail
| Address | 1350 Hickory St |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329013224 |
| Phone Number | 3214344225 |
| Fax Number | 3214344247 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | ME81186 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14488700 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kevin H Wallace by the Centers for Medicare & Medicaid Services?
The Kevin H Wallace has been issued the NPI (National Provider Identifier) 1033195631, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kevin H Wallace is located?
The Kevin H Wallace is situated at the following address: 1350 Hickory St, Melbourne, FL, 329013224.
What is Kevin H Wallace's area of expertise and its corresponding taxonomy classification?
The Kevin H Wallace's field of specialization is Critical Care Medicine, and it falls under the taxonomy code 207Rc0200X, which categorizes healthcare providers based on their areas of practice.
On what date did Kevin H Wallace receive its 1033195631 assignment from the Centers for Medicare & Medicaid Services?
The Kevin H Wallace was assigned its 1033195631 on 2005-12-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kevin H Wallace last refreshed?
The information related to the Kevin H Wallace, including its address, specialty, and other relevant details, was last updated on 2022-08-26.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA