SearchKansas363A00000X

Jeffrey Wallace

NPI 1619392974 · on the registry since 2014 · sole proprietor

Practice

Address
600 Caisson Hill Rd
Fort Riley, KS 66442
Phone
(785) 239-7000
Organisation at this address
Us Army
Kansas City Vamc
Irwin Army Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
68

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Male
Record last updated
2014-02-24

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 Kansas