Dr KIMBERLY S WALLACE is a female medical professional, specializing in Family Medicine. She graduated in 2004 from University Of Maryland School Of Medicine.
1438 DEFENSE HWY 201
GAMBRILLS
MD
210542021
Tel: 4107213200
| Npi | 1770627705 |
| Pac Id | 5496937351 |
| Professional Enrollment Id | I20130115000239 |
| Last Name | WALLACE |
| First Name | KIMBERLY |
| Middle Name | S |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 1438 DEFENSE HWY 201 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GAMBRILLS |
| State | MD |
| Zip Code | 210542021 |
| Phone Number | 4107213200 |
| Hospital Affiliation Ccn 1 | |
| Hospital Affiliation Lbn 1 | |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.