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Kenora Wallace

NPI 1366158859 · on the registry since 2023

Practice

Address
2085 Goodman Rd W Ste 8
Horn Lake, MS 38637
Phone
(662) 890-0012
Organisation at this address
S&K Medical,Llc
Big River Chiropractic Horn Lake Pllc
Mid South Chiropractic Of Horn Lake Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-27

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 Mississippi