MR. Kevin R Wallace

NPI #1033619614 in Canfield, Ohio

Provider Information

NPI Number
1033619614
Entity Type
Individual
Name
MR. Kevin R Wallace
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Feb 20, 2018
Last Updated
Feb 20, 2018

Practice Location

Address
3620 STUTZ DR
State
Ohio
ZIP Code
44406-9176
Phone
(330) 286-3173

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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