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NPI · 1295791754 · NPPES-sourced

Dr. Kenneth Wallace MD

ActiveDermatology, Mohs Surgery
NPI Number
1295791754
Type 1 · Individual
Taxonomy Code
207ND0101X
Contact
(850) 597-0324
License FL · ME73625
Last Updated
Enumerated
Primary practice addressFL · 34480-6146
1091 Se 59th StOcala, FL 34480-6146
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Also known as

  • Professional nameWallace, Kenneth A

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1295791754 is registered to Dr. Kenneth Wallace MD, a Dermatology, Mohs Surgery practising at 1091 Se 59th St in Ocala, Florida. Dermatology, Mohs Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Kenneth Wallace MD has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Kenneth Wallace MD accepts. To confirm in-network status with your specific health plan, contact Dr. Kenneth Wallace MD directly at (850) 597-0324.

Frequently asked

Yes. NPI 1295791754 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology, Mohs Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (850) 597-0324.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Kenneth Wallace MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207ND0101X
Last updated
Enumerated
StatusActive
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