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

Individual provider Case Manager/Care Coordinator · NPI 1033619614

Mr. Kevin R Wallace is a Case Manager/Care Coordinator in Canfield, Ohio. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

3620 Stutz Dr
Canfield, OH 44406-9176
Phone: (330) 286-3173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1033619614
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 20, 2018
Last updated in NPPESFebruary 20, 2018

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