Wallace, Kimberly Shannon
Wallace, Kimberly Shannon is an sole proprietor health care provider with primary practice located at 1438 Defense Hwy Suite 201 , Gambrills MD 21054. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wallace, Kimberly Shannon can be contacted via phone (410) 721-3200.Contact Information
Primary practice address
1438 Defense Hwy Suite 201
Gambrills MD 21054
Phone: (410) 721-3200
Fax: (410) 721-2680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D66924 | Maryland |
Profile Details
| NPI number | 1770627705 |
|---|---|
| LBN Legal business name | Wallace, Kimberly Shannon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Mar 18th, 2019 - about 6 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.
Popular Providers
-
Muscovich, Tara Thurlby
1438 Defense Highway Suite 201, Gambrills MD 21054 -
Swanson, Evan Joel
1301 S. Main St. , Ottawa KS 66067 -
Su, Peter
1438 Defense Highway Suite 201, Gambrills MD 21054 -
Skinner, Michelle Marie
2401 Brandermill Blvd , Gambrills MD 21054-1690 -
Minnehan, Haley J
701 Lewiston St , Cottonwood ID 83522-9750 -
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121 -
Schultz, Howard Kenneth
1438 Defense Highway Suite 201, Gambrills MD 21054 -
Killian, James Wendall
402 Cumberland Ave , Williamsburg KY 40769-1238