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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KENNETH K WALLACE M.D.
NPI 1598737405
Specialist in Fort Smith, AR

Active since February 03, 2006
3000 ROGERS AVE, FORT SMITH, AR 72901(479) 782-8892(479) 782-8840 Get Directions Write a Review

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

About Dr. Kenneth K Wallace M.d. NPPES

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

DR. KENNETH K WALLACE M.D. (NPI 1598737405) is an individual specialist in Fort Smith, Arkansas, licensed in Arkansas (R2091) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1598737405
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KENNETH K WALLACECredential: M.D.
Location Address3000 ROGERS AVEFort Smith, AR 72901-4232
Mailing Address3000 Rogers AveFort Smith, AR 72901-4232 · (479) 782-8892 · Fax (479) 782-8840
Phone(479) 782-8892
Fax(479) 782-8840
Sole ProprietorNo
Enumeration DateFebruary 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1598737405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · R2091
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3000 ROGERS AVE, Fort Smith, AR 72901
Open in Google Maps ↗

Other Identifiers 1

Other55462AR · Bcbs

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.

RACHAEL LEIGH LEBRUN APRN-CNM
Advanced Practice Midwife
3000 ROGERS AVE
FORT SMITH, AR 72901
Sebastian County (479) 459-6528
DR. GARY V FELKER M.D.
Specialist
3000 ROGERS AVE
FORT SMITH, AR 72901
Sebastian County (479) 782-8892
WOMENS CENTER FOR HEALTH AND WELLNESS, PLLC
Obstetrics & Gynecology (Gynecology)
3000 ROGERS AVE
FORT SMITH, AR 72901
Sebastian County (479) 459-6528
HEATHER ERWIN WHNP-BC
Nurse Practitioner (Women's Health)
3000 ROGERS AVE
FORT SMITH, AR 72901
Sebastian County (479) 459-6528
RANDEL L SAYLOR MD
Ophthalmology
3000 ROGERS AVE
FORT SMITH, AR 72901
Sebastian County (479) 782-8892

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 Kenneth Wallace's NPI number?

The NPI number for Kenneth Wallace is 1598737405. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Kenneth Wallace located?

Kenneth Wallace practices at 3000 Rogers Ave, Fort Smith, AR 72901. The listed phone number is (479) 782-8892.

What is Kenneth Wallace's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kenneth Wallace was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.