IndividualActive
Darryl Wallace, MD
NPI 1477592210 · Gynecologic Oncology Physician · Kansas City, MO
Provider details
- NPI number
- 1477592210
- Entity type
- Individual
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 415529 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4321 Washington St
Suite 4000
Kansas City, MO 64111-5961
Phone: (816) 932-4549
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 504407
Saint Louis, MO 63150-4407
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2012-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.