Kenora S Wallace

NPI #1366158859 in Horn Lake, Mississippi

Provider Information

NPI Number: 1366158859
Entity Type: Individual
Name: Kenora S Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: Jan 27, 2023
Last Updated: Jan 27, 2023

Practice Location

Address: 2085 GOODMAN RD W STE 8
City: Horn Lake
State: Mississippi
ZIP Code: 38637-1416
Phone: (662) 890-0012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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