Wallace, Kenda Joleen

Wallace, Kenda Joleen is an individual health care provider with primary practice located at 4212 North 16Th St, , Phoenix AZ 85016. She recently has only one registered license in Nursing Service Providers / Infection Control, which is considered as her primary health care specialty. Wallace, Kenda Joleen can be contacted via phone (602) 263-1511.

Contact Information

Primary practice address
4212 North 16Th St, Phoenix AZ 85016
Phone: (602) 263-1511
Fax: (602) 263-1619
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Infection Control 163WI0600X E42490 Connecticut

Profile Details

NPI number 1316007339
LBN Legal business name Wallace, Kenda Joleen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers