Individual provider · Type 1 NPI

Kimberly Shannon Wallace, MD

Family Medicine Physician · Gambrills, MD

NPI number 1770627705 Active

Practice location

1438 Defense Hwy Suite 201
Gambrills, MD 21054

Call (410) 721-3200 Map

Fax (410) 721-2680

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XD66924 (MD)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1770627705

Kimberly Shannon Wallace, MD's National Provider Identifier is 1770627705, issued on Feb 15, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Gambrills, MD. The record was last updated on Mar 18, 2019.