Kevin L Wallace, MD - Preventive Medicine in Phoenix, AZ

Kevin L Wallace, MD is a Preventive Medicine - Medical Toxicology physician based in Phoenix, Arizona. Kevin L Wallace is licensed to practice in Arizona (license number 23348) and his current practice location is 925 E Mcdowell Rd, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 239-2371.

NPI number for Kevin L Wallace is 1730128372 and his current mailing address is 72 Brentwood Rd, Cape Elizabeth, Maine. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730128372.

Contact Information

Kevin L Wallace, MD
925 E Mcdowell Rd,
Phoenix, AZ 85006-2502
(602) 239-2371
(602) 239-4138



Physician's Profile

Full NameKevin L Wallace
GenderMale
SpecialityPreventive Medicine - Medical Toxicology
Location925 E Mcdowell Rd, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730128372
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Kevin L Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730128372NPI-NPPES
323923MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083T0002XPreventive Medicine - Medical Toxicology 23348 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin L Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin L Wallace, MD
72 Brentwood Rd,
Cape Elizabeth, ME 04107-2227

Ph: (602) 769-1301
Kevin L Wallace, MD
925 E Mcdowell Rd,
Phoenix, AZ 85006-2502

Ph: (602) 239-2371

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› Verified 5 days ago


Preventive Medicine Doctors in Phoenix, AZ

Dr. Ralph John Luciani I, D.O., M.D.(H)
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1530 W Glendale Ave, Suite 106, Phoenix, AZ 85021
Phone: 602-242-4024    Fax: 602-242-4913
William C Knowler, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1550 E Indian School Rd, Phoenix, AZ 85014
Phone: 602-200-5206    
Michael A Keer, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5340 W Buckeye Rd, Suite 3, Phoenix, AZ 85043
Phone: 615-778-4066    
Nicolau J Chamma, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2502 E Washington St, Phoenix, AZ 85034
Phone: 615-778-4066    
Dr. Rosalie E Banasiak, MD
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 12808 North Black Canyon Highway, Phoenix, AZ 85029
Phone: 602-375-1155    Fax: 602-866-9169
Gilbert T Webb Ii, THERAPY DIRECTOR
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 320 E Mcdowell Rd, Suite 105 & 325, Phoenix, AZ 85004
Phone: 615-778-4066    
Jacquelyn Island, M.D.
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12808 N Black Canyon Hwy, Phoenix, AZ 85029
Phone: 615-778-4066    

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