Kendall E. Wallace, APRN
Family Nurse Practitioner · Urbana, IL
Practice location
611 W Park StUrbana, IL 61801-2529
- Phone
- (217) 383-3311
NPI record
- NPI
- 1003391061
- Entity type
- Individual (Type 1)
- Enumeration date
- September 26, 2018
- Last updated
- April 4, 2024
- Certified
- April 4, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X |
209017908 | IL |
Mailing address
611 W Park StUrbana, IL 61801-2501
About Kendall Wallace
Kendall E. Wallace, APRN is a healthcare provider registered in the NPI registry with the primary taxonomy Family Nurse Practitioner (code 363LF0000X). The practice location is 611 W Park St, Urbana, IL 61801-2529. The NPI number 1003391061 was assigned on September 26, 2018 and the record was last updated on April 4, 2024.
Kendall Wallace lists a license in the registry: #209017908 (IL) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kendall E. Wallace, APRN?
The NPI number is 1003391061.
What is the phone number of Kendall Wallace?
The phone number listed for the practice location is (217) 383-3311.
Where is Kendall Wallace located?
611 W Park St, Urbana, IL 61801-2529.
What is the taxonomy code for Kendall Wallace?
The primary taxonomy code is 363LF0000X – Family Nurse Practitioner.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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