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

Wayne O Wallace Jr., MD

Individual provider Family Medicine Physician · NPI 1639175292

Wayne O Wallace Jr., MD is a Family Medicine Physician in Atchison, Kansas. Licensed in Kansas. Registered with an NPI since 2005.

Licensed in
KS
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

810 Raven Hill Dr
Atchison, KS 66002-1401
Phone: (913) 367-6689
Fax: (913) 360-5837
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0413701 (KS)

Record details

NPI number1639175292
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESJanuary 28, 2010
Mailing address810 Raven Hill Drive, Atchison, KS 66002-1243

Other providers in Atchison