Dr. Cynthia Kay Wallace
Internist Family Doctor - Hospice and Palliative Medicine
2615 E Clinton Ave
Fresno
, California 93703-2223
Dr. Cynthia Kay Wallace
Internist Family Doctor - Hospice and Palliative Medicine
2615 E Clinton Ave
Fresno
, California 93703-2223
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
- Internist
Languages spoken
- English
Location
First Address
- Dr. Cynthia Kay Wallace
- 19425 Tollhouse Rd
- Clovis, CA
- Zip : 93619-9758
- Phone :
Second Address
- Dr. Cynthia Kay Wallace
- 2615 E Clinton Ave
- Fresno, CA
- Zip : 93703-2223
- Phone : (559) 225-6100
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Is Dr. Cynthia Kay Wallace a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 139714 | CA |
| Y | 207R00000X | Internist | 139714 | CA |
| Y | 111NI0900X | Internist | 139714 | CA |
National Provider Identifier
| NPI | 1235305889 |
|---|---|
| Provider Name | Dr. Cynthia Kay Wallace |
| First Address | Clovis, CA 93619-9758 |
| Second Address | Fresno, CA 93703-2223 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2008 |
| Last Update Date | 17/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.