Individual provider · Type 1 NPI

Kenneth C. Wallis, MD

Psychiatry Physician · Davis, CA

NPI number 1649243692 Active

Practice location

1260 Lake Blvd, Suite #214
Davis, CA 95616-2614

Call (530) 771-2308 Map

Fax (530) 771-2309

Other practice locations

  • 40925 County Center Dr Ste 2002nd, Temecula, CA 92591-6054 · (951) 600-6300

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XC-41960 (CA)
Psychiatry Physician Primary 2084P0800X811674181205 (UT)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1649243692

Kenneth C. Wallis, MD's National Provider Identifier is 1649243692, issued on Feb 9, 2006. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Davis, CA. The record was last updated on Jul 9, 2021.