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

Dr. Kenneth A Wallace III, MD

Individual provider Dermatology Physician · NPI 1295791754

Dr. Kenneth A Wallace III, MD is a Dermatology in Ocala, Florida. Graduated from Wayne State University School of Medicine in 1989, 37 years ago. Practices with Citrus Multi Care LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
37
Trained at
Wayne State University School of Medicine
Licensed in
FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1091 SE 59th St
Ocala, FL 34480-6146
Phone: (850) 597-0324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence ME73625 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence ME73625 (FL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence ME73625 (FL)

Record details

NPI number1295791754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Citrus Multi Care Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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