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KIMBERLY WALLACE MD PC
NPI 1497397202
Clinic/Center - Medical Specialty in Oak Park, MI

Active since October 14, 2019
12900 W 9 MILE ROAD, OAK PARK, MI 48237(248) 547-9292 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2019, Oct 14, 2019 (2 updates tracked since 2019).

About Kimberly Wallace Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY WALLACE MD PC (NPI 1497397202) is a healthcare organization registered as a medical specialty in Oak Park, Michigan and active in the NPI registry since October 2019. The organization lists Kimberly Wallace, President, as its authorized official.

NPPES Registry Identity

NPI1497397202
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameKIMBERLY WALLACE MD PC
Location Address12900 W 9 MILE ROADOak Park, MI 48237
Mailing AddressP.o. Box 700263Plymouth, MI 48170
Phone(248) 547-9292
Organization SubpartNo
Authorized OfficialKimberly WallacePresident · (248) 547-9292
Enumeration DateOctober 14, 2019
Last NPPES UpdateNovember 13, 20192 updates tracked since enumeration
✔ NPI 1497397202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
12900 W 9 MILE ROAD, Oak Park, MI 48237
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Wallace MD PC's NPI number?

The NPI number for Kimberly Wallace MD PC is 1497397202. It was assigned to this organization in the NPPES registry on October 14, 2019.

Where is Kimberly Wallace MD PC located?

Kimberly Wallace MD PC is located at 12900 W 9 Mile Road, Oak Park, MI 48237. The listed phone number is (248) 547-9292.

What is Kimberly Wallace MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Kimberly Wallace MD PC was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.