Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kimberly Wallace MD PC

Q: What type of organization is Kimberly Wallace MD PC?

Kimberly Wallace MD PC is registered in NPPES as a Medical Specialty Clinic/Center (its primary provider taxonomy).

Medical Specialty Clinic/Center in Oak Park, MI · enumerated 2019 · authorized official Kimberly Wallace, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497397202

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Registry record

Entity type Organization (Type 2)

Legal business name Kimberly Wallace MD PC

Practice address 12900 W 9 Mile Road, Oak Park, MI, 48237

Phone (248) 547-9292

Enumeration date Oct 14, 2019

Last updated in NPPES Nov 13, 2019

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kimberly Wallace

Title President

Phone (248) 547-9292

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Kimberly Wallace MD PC?

Kimberly Wallace MD PC is registered in NPPES as a Medical Specialty Clinic/Center (its primary provider taxonomy).

Providers at this address

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William Jordan Obstetrics & Gynecology Physician · Oak Park, MI NPI 1497744932

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-11-13.