Wallace, Kelli P

Wallace, Kelli P is an individual health care provider with primary practice located at 800 Kenyon Rd , Fort Dodge IA 50501-5776. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wallace, Kelli P can be contacted via phone (515) 574-6800.

Contact Information

Primary practice address
800 Kenyon Rd Fort Dodge IA 50501-5776
Phone: (515) 574-6800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33478 Iowa

Profile Details

NPI number 1518939867
LBN Legal business name Wallace, Kelli P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Dec 22nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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