KELLI P WALLACE

FORT DODGE, IA
NPI1518939867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  33478)
Enumeration Date2006-02-02
Last Update Date2016-12-22
Business Address
-- KELLI P WALLACE MD
800 KENYON RD
FORT DODGE, IA 50501-5776
Phone number: 515-574-6800
Mailing Address
-- KELLI P WALLACE MD
24 N 9TH ST SUITE A
FORT DODGE, IA 50501-3909
Phone number: 515-574-6890
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