KENNETH K WALLACE

FORT SMITH, AR
NPI1598737405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: AR  R2091)
Enumeration Date2006-02-03
Last Update Date2007-07-08
Business Address
Dr. KENNETH K WALLACE M.D.
3000 ROGERS AVE
FORT SMITH, AR 72901-4232
Phone number: 479-782-8892
Mailing Address
Dr. KENNETH K WALLACE M.D.
3000 ROGERS AVE
FORT SMITH, AR 72901-4232
Phone number: 479-782-8892
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