Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Wallace MD PC

Organization Medical Specialty Clinic/Center · NPI 1497397202

Kimberly Wallace MD PC is a Medical Specialty Clinic/Center in Oak Park, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12900 W 9 Mile Rd
Oak Park, MI 48237
Phone: (248) 547-9292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1497397202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Wallace — President · (248) 547-9292
NPI enumeratedOctober 14, 2019
Last updated in NPPESNovember 13, 2019
Mailing addressP.O. Box 700263, Plymouth, MI 48170