Individual provider · Type 1 NPI

Kenneth K. Wallace, MD

Specialist · Fort Smith, AR

NPI number 1598737405 Active

Practice location

3000 Rogers Ave
Fort Smith, AR 72901-4232

Call (479) 782-8892 Map

Fax (479) 782-8840

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XR2091 (AR)

Specialist: 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.

4 other providers at this address

Other specialist providers in Fort Smith

See all in Fort Smith →

About NPI 1598737405

Kenneth K. Wallace, MD's National Provider Identifier is 1598737405, issued on Feb 3, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Smith, AR. The record was last updated on Jul 13, 2026.