Kendall E Wallace, APRN

NPI #1003391061 in Urbana, Illinois

Provider Information

NPI Number
1003391061
Entity Type
Individual
Name
Kendall E Wallace, APRN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
APRN
Enumeration Date
Sep 26, 2018
Last Updated
Apr 4, 2024

Practice Location

Address
611 W PARK ST
City
Urbana
ZIP Code
61801-2529
Phone
(217) 383-3311

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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