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

McKenzie Wallace, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1548019946

McKenzie Wallace, MD is an Anatomic Pathology & Clinical Pathology Physician in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
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

M263 Medical Science Bldg One Hospital Drive
Columbia, MO 65212-0001
Phone: (573) 882-3014
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 2024023604 (MO)

Record details

NPI number1548019946
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing addressM263 Medical Science Building One Hospital Drive, Columbia, MO 65212-0001

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