Mr. Kenneth Walter Wallace
Mr. Kenneth Walter Wallace is a Student in an Organized Health Care Education/Training Program in Cleveland, Ohio. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
11075 E BlvdCleveland, OH 44106-5409
Phone: (216) 368-2766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1144078239 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 13, 2024 |
| Last updated in NPPES | May 13, 2024 |
| Certification date | May 13, 2024 |
| Mailing address | 2300 Overlook Rd Apt 110, Cleveland Heights, OH 44106-2346 |
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