Ms Karen L Wallace, RD, CD is a
Dietitian, Registered based in Mill Creek, Washington. Ms Karen L Wallace is licensed to practice in Washington (license number DI00000485) and her current practice location is
15418 Main St, Ste 301, Mill Creek, Washington. She can be reached at her office (for appointments etc.) via phone at
(425) 385-3262.
NPI number for Ms Karen L Wallace is 1760532113 and her current mailing address is 15418 Main Street, Suite 301, Mill Creek, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760532113.
Healthcare Provider's Profile
Full Name | Ms Karen L Wallace |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 15418 Main St, Mill Creek, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760532113
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Karen L Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760532113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DI00000485 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Karen L Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Karen L Wallace, RD, CD 15418 Main Street, Suite 301, Mill Creek, WA 98012 Ph: (425) 385-3262 | Ms Karen L Wallace, RD, CD 15418 Main St, Ste 301, Mill Creek, WA 98012-9030 Ph: (425) 385-3262 |
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