Keri A. Wallace, M.D.
Pediatrics · Hartford, CT
UnclaimedM.D.NPI 1205807179
- Primary taxonomy
- 208000000X
- Enumerated
- 2006-01-30
- Practice location
- Hartford, CT
- Last NPPES update
- 2023-04-12
State licenses
- CT · Physician · NPPES self-reportedListed on NPI record
- CT · Physician · Physician/SurgeonActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.