Kimberly Wallace MD PC
NPI 1497397202 · Medical Specialty Clinic/Center · Oak Park, MI
Kimberly Wallace MD PC is a Medical Specialty Clinic/Center organization in Oak Park, MI (NPI 1497397202).
Provider details
- NPI number
- 1497397202
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Wallace, President(248) 547-9292
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-10-14
- Last updated
- 2019-11-13
Frequently asked questions
- What is Kimberly Wallace MD PC's NPI number?
- Kimberly Wallace MD PC's National Provider Identifier (NPI) is 1497397202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kimberly Wallace MD PC?
- Kimberly Wallace MD PC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kimberly Wallace MD PC located?
- Kimberly Wallace MD PC's practice location on file with NPPES is 12900 W 9 Mile Road, Oak Park, MI 48237.
- What is Kimberly Wallace MD PC's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Wallace MD PC is (248) 547-9292.
- Who is the authorized official for Kimberly Wallace MD PC?
- The authorized official listed on Kimberly Wallace MD PC's NPPES record is Kimberly Wallace, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kimberly Wallace MD PC's NPI active?
- Yes — Kimberly Wallace MD PC's NPI (1497397202) is active in the NPPES registry as of the last update on 2019-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.