Kenora S Wallace is a Horn Lake, Mississippi based female chiropractor who is specialized as General Chiropractor. Active license number of Kenora S Wallace as General Chiropractor is 1367 in Mississippi. Kenora S Wallace is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Kenora S Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Gender:
Female
Practice Address:
2085 Goodman Rd W Ste 8, Horn Lake, Mississippi, 38637-1416
Phone:
662-890-0012
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1366158859
NPI Enumeration Date:
27 Jan, 2023
NPI Last Update On:
27 Jan, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenora S Wallace are as mentioned below.
License Number
Specialization
State
Status
1367
Chiropractor
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenora S Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1367
Other
Mississippi
LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2085 Goodman Rd W Ste 80, Horn Lake, Mississippi
Zip:
38637-1416
Phone Number:
662-890-0012
Fax Number:
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Patients can reach Kenora S Wallace at 2085 Goodman Rd W Ste 8, Horn Lake, Mississippi or can call to book an appointment on 662-890-0012. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Chiropractor in Horn Lake, MS
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