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KRISTEN S WALLIS MD
NPI 1568662492
Pediatrics in Hamden, CT

Active since July 19, 2007
299 WASHINGTON AVE, HAMDEN, CT 06518(203) 288-4288(855) 414-4010 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kristen S Wallis Md NPPES

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

KRISTEN S WALLIS MD (NPI 1568662492) is an individual pediatrics provider in Hamden, Connecticut, licensed in Connecticut (046513) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1568662492
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKRISTEN S WALLISCredential: MD
Location Address299 WASHINGTON AVEHamden, CT 06518-3026
Mailing Address299 Washington AveHamden, CT 06518-3026 · (203) 288-4288 · Fax (203) 288-1566
Phone(203) 288-4288
Fax(855) 414-4010
Sole ProprietorNo
Enumeration DateJuly 19, 2007
Last NPPES UpdateApril 30, 2021
NPPES CertifiedApril 30, 2021
✔ NPI 1568662492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CT · 046513✔ Licensed in NY · 244100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
299 WASHINGTON AVE, Hamden, CT 06518
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Other Identifiers 1

Medicaid02896880CT

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GLENN F XAVIER LMSW
Social Worker (Clinical)
299 WASHINGTON AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 288-4288
CRAIG PAUL SUMMERS M.D., F.A..A..P.
Pediatrics
299 WASHINGTON AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 288-4288
DR. JERALYN R FANTARELLA D.M.D.
Dentist (General Practice)
299 WASHINGTON AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 288-4855
CHILDREN'S MEDICAL GROUP, LLC
Pediatrics
299 WASHINGTON AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 288-4288
JERALYN R. FANTARELLA, DMD, P.C.
Dentist (General Practice)
299 WASHINGTON AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 288-4855

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 Kristen Wallis's NPI number?

The NPI number for Kristen Wallis is 1568662492. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Kristen Wallis located?

Kristen Wallis practices at 299 Washington Ave, Hamden, CT 06518. The listed phone number is (203) 288-4288.

What is Kristen Wallis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kristen Wallis was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.