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Kenneth Wallace
NPI 1144078239 · on the registry since 2024
Practice
- Address
- 11075 East Blvd
Cleveland, OH 44106 - Phone
- (216) 368-2766
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Sex
- Male
- Record last updated
- 2024-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio