Kimberly Shannon Wallace, MD
NPI #1770627705 in Gambrills, Maryland
Provider Information
- NPI Number
- 1770627705
- Entity Type
- Individual
- Name
- Kimberly Shannon Wallace, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Mar 18, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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