NPI 1366158859
Kenora S Wallace
Practice location
- Address
- 2085 Goodman Rd W STE 8, Horn Lake, MS 38637-1416
- Phone
- (662) 890-0012
- Mailing address
- 2085 Goodman Rd W STE 80, Horn Lake, MS 38637-1416
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1366158859
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jan 2023
- Record last updated
- 27 Jan 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.