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

Dr. Keri Ann Wallace, MD

Individual provider Pediatrics Physician · NPI 1205807179

Dr. Keri Ann Wallace, MD is a Pediatrics Physician in Hartford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

282 Washington St Ccmc Primary Care Center 1F
Hartford, CT 06106-3322
Phone: (860) 545-9333
Fax: (860) 545-9301
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 046025 (CT)

Record details

NPI number1205807179
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023

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