Search › California › 207R00000X
Kevin Wallace, MD
NPI 1255309258 · on the registry since 2006
Practice
- Address
- 1300 Crane St
Menlo Park, CA 94025 - Phone
- (650) 498-6500
- Clinicians at this address
- 69
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-24
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 California