Dr. Kevin H Wallace
Sleep Medicine Pulmonary Disease Critical Care Medicine
1350 Hickory St
Melbourne
, Florida 32901-3224
Dr. Kevin H Wallace
Sleep Medicine Pulmonary Disease Critical Care Medicine
1350 Hickory St
Melbourne
, Florida 32901-3224
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
- Sleep Medicine
Languages spoken
- English
Location
First Address
- Dr. Kevin H Wallace
- 3300 S Fiske Blvd
- Rockledge, FL
- Zip : 32955-4306
- Phone :
Second Address
- Dr. Kevin H Wallace
- 1350 Hickory St
- Melbourne, FL
- Zip : 32901-3224
- Fax : (321) 434-4247
- Phone : (321) 434-4225
Reviews
FAQs
Where did Dr. Kevin H Wallace attend graduate school?
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Where did Dr. Kevin H Wallace do his fellowship?
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What type of doctor is Dr. Kevin H Wallace
In what state does Dr. Kevin H Wallace practice in?
Where is Dr. Kevin H Wallace ’s practice located?
What is Dr. Kevin H Wallace ’s gender?
Is Dr. Kevin H Wallace a sole practitioner?
Is Dr. Kevin H Wallace accepting new patients?
What languages does Dr. Kevin H Wallace speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | ME81186 | FL |
| Y | 207RP1001X | Pulmonary Disease | ME81186 | FL |
| N | 207RS0012X | Sleep Medicine | ME81186 | FL |
National Provider Identifier
| NPI | 1033195631 |
|---|---|
| Provider Name | Dr. Kevin H Wallace |
| First Address | Rockledge, FL 32955-4306 |
| Second Address | Melbourne, FL 32901-3224 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/12/2005 |
| Last Update Date | 13/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 014488700 | (05) | FL |
| H27912 | (02) |
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.