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Kendall E Wallace

Nurse Practitioner

611 W Park St
Urbana , Illinois 61801-2529

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Kendall E Wallace

Nurse Practitioner

611 W Park St
Urbana , Illinois 61801-2529

Write a Review Save Call

Kendall E Wallace

Nurse Practitioner

611 W Park St
Urbana , Illinois 61801-2529

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner

Languages spoken

  • English

Location

611 W Park St Urbana , Illinois 61801-2529

First Address

  • Kendall E Wallace
  • 611 W. Park St. Fapc
  • Urbana, IL
  • Zip : 61801
  • Phone :

Second Address

  • Kendall E Wallace
  • 611 W Park St
  • Urbana, IL
  • Zip : 61801-2529
  • Phone : (217) 383-3311

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FAQs


Where did Kendall E Wallace attend graduate school?

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Where did Kendall E Wallace do her residency?

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Where did Kendall E Wallace do her fellowship?

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Is Kendall E Wallace board certified?

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What type of doctor is Kendall E Wallace

Nurse Practitioner

In what state does Kendall E Wallace practice in?

Illinois

Where is Kendall E Wallace ’s practice located?

611 W Park St , Urbana, Illinois, 61801-2529

What is Kendall E Wallace ’s gender?

Female

Is Kendall E Wallace a sole practitioner?

No

Is Kendall E Wallace accepting new patients?

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What languages does Kendall E Wallace speak?

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Does Kendall E Wallace accept insurance?

Yes, Kendall E Wallace accepts insurance

Does Kendall E Wallace offers telemedicine?

Kendall E Wallace has not indicated if she offers telemedicine

What is Kendall E Wallace ’s professional license number?

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What is Kendall E Wallace ’s NPI number?

1003391061

Does Kendall E Wallace have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363L00000X Nurse Practitioner 209017908 IL

National Provider Identifier

NPI 1003391061
Provider Name Kendall E Wallace
First Address Urbana, IL 61801
Second Address Urbana, IL 61801-2529
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 26/09/2018
Last Update Date 26/09/2018

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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