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KEVIN L WALLACE MD NPI 1730128372


NPI Information

NPI: 1730128372
Provider Name: KEVIN L WALLACE, MD
Classification: Preventive Medicine - 2083T0002X
Entity Type: Individual

Specialization: Medical Toxicology

Address:
925 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006
Phone: (602) 239-2371
Get Directions

Kevin L Wallace, MD is a medical toxicology preventive medicine in Phoenix, AZ. The provider is medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings, and environmental and workplace exposures. Kevin L Wallace, MD NPI is 1730128372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

925 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006-502
Phone: (602) 239-2371
Fax: (602) 239-4138

The enumeration date for this NPI number is 6/6/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083T0002XPreventive MedicineMedical Toxicology23348ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
174413MEDICARE ID-TYPE UNSPECIFIED
2323923MEDICAIDARIZONA
3D46413MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.