Kenneth Wall, is a
Physical Therapist based in Durand, Michigan. Kenneth Wall is licensed to practice in Michigan (license number 5501017586) and his current practice location is
8750 Monroe Rd, Durand, Michigan. He can be reached at his office (for appointments etc.) via phone at
(989) 288-3166.
NPI number for Kenneth Wall is 1710475397 and his current mailing address is 8353 Apple Blossom Ln, Flushing, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710475397.
Healthcare Provider's Profile
| Full Name | Kenneth Wall |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 8750 Monroe Rd, Durand, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710475397
- Provider Enumeration Date: 04/29/2018
- Last Update Date: 04/29/2018
Medical Identifiers
Medical identifiers for Kenneth Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710475397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 5501017586 (Michigan) | 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. Kenneth Wall 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 |
Kenneth Wall, 8353 Apple Blossom Ln, Flushing, MI 48433-1192 Ph: (810) 252-1798 | Kenneth Wall, 8750 Monroe Rd, Durand, MI 48429-1000 Ph: (989) 288-3166 |
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