KEVIN H WALLACE

MELBOURNE, FL
NPI1033195631
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: FL  ME81186)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: FL  ME81186)
207RS0012X Internal Medicine, Sleep Medicine
(Licence: FL  ME81186)
208M00000X Hospitalist
(Licence: FL  ME81186)
Enumeration Date2005-12-16
Last Update Date2022-08-26
Business Address
Dr. KEVIN H WALLACE MD
1350 HICKORY ST
MELBOURNE, FL 32901-3224
Phone number: 321-434-4225
Mailing Address
Dr. KEVIN H WALLACE MD
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: