Kent William Wallace, PA-C, ARNP is a surgical physician assistant in Everett, WA. Kent William Wallace, PA-C, ARNP NPI is 1770662835. 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:
1321 COLBY AVE
MEDICAL STAFF OFFICE (PMG)
EVERETT, WA
ZIP 98201-665
Phone: (425) 261-2000
The enumeration date for this NPI number is 11/2/2006 and was last updated on 2/6/2015.