Kenneth Wallace, MD

NPI: 1295791754

Kenneth Wallace, MD

Q: What is Kenneth Wallace's NPI number?

Kenneth Wallace's NPI number is 1295791754, a unique 10-digit identifier issued by CMS.

Q: What does Kenneth Wallace specialize in?

Kenneth Wallace specializes in Dermatology, taxonomy code 207N00000X.

Q: Where does Kenneth Wallace practice?

Kenneth Wallace practices in Ocala, FL 34480-6146.

Q: When was Kenneth Wallace's NPI issued?

Kenneth Wallace's NPI was issued on April 25, 2006.

Q: What is Kenneth Wallace's provider type?

Kenneth Wallace is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderDermatology

NPI issued: April 25, 2006

Quick Facts

NPI Number

1295791754

TypeIndividual

StatusActive

SpecialtyDermatology

Taxonomy207N00000X — Dermatology

Phone

(850) 597-0324

StateFL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1295791754)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (April 25, 2006)

Data source: CMS NPPES

Provider Overview

KENNETH WALLACE, MD is a Dermatology provider based in Ocala, FL who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1295791754

Provider TypeIndividual Provider

GenderMale

CredentialMD

StatusActive

Enumeration DateApril 25, 2006

Practice Location

CityOcala

StateFL

ZIP Code34480-6146

Phone(850) 597-0324

Specialties & Licenses

★ Primary

SpecialtyDermatology

Taxonomy Code207N00000X

License StateFL

Mailing Address

CityOcala

StateFL

ZIP Code34480-6146

Phone(850) 597-0324

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1295791754 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1295791754for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1295791754 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.