Search › New Mexico › 225700000X
Kenyan Wallace, LMT
NPI 1528772258 · on the registry since 2023
Practice
- Address
- 1640 Old Pecos Trl Ste E
Santa Fe, NM 87505 - Phone
- (561) 843-4380
- Organisation at this address
- Sally Smith Np, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-09
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 New Mexico