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

Dr. Kristen Ashley Wallace, DO

Individual provider Pediatric Pulmonology Physician · NPI 1972039741

Dr. Kristen Ashley Wallace, DO is a Pediatric Pulmonology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (445) 242-5512
Show map & directions

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

Specialties & licences

Pediatric Pulmonology Physician (primary) Taxonomy 2080P0214X · Licence OS023930 (PA)

Record details

NPI number1972039741
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

Other providers in Philadelphia