Kimberly S Wallace MD LLC
NPI #1790537132 in Gambrills, Maryland
Provider Information
- NPI Number
- 1790537132
- Entity Type
- Organization
- Organization Name
- Kimberly S Wallace MD LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 1, 2024
- Last Updated
- Apr 1, 2024
Practice Location
Authorized Official
- Name
- LISA COYER
- Title
- OFFICE MANAGER
- Phone
- (410) 693-9648
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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