Kimberly Wallace MD PC
Kimberly Wallace MD PC is a healthcare organization registered as Medical Specialty Clinic/Center in Oak Park, MI, holding Type 2 (organization) NPI 1497397202 since 2019. The authorized official on file is Kimberly Wallace, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1497397202 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kimberly Wallace MD PC |
| Practice address | 12900 W 9 MILE ROAD, Oak Park, MI, 48237 |
| Phone | 2485479292 |
| Enumeration date | 2019-10-14 |
| Last updated in NPPES | 2019-11-13 |
Authorized official
| Name | Kimberly Wallace |
|---|---|
| Title | President |
| Phone | 2485479292 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM2500X | Medical Specialty Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Kimberly Wallace MD PC NPI: 1497397202 Taxonomy: 261QM2500X (Medical Specialty Clinic/Center) Address: 12900 W 9 MILE ROAD, Oak Park, MI, 48237
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497744932 | William Jordan | Individual | Obstetrics & Gynecology Physician | Oak Park, MI |
Verify this record
Cross-check NPI 1497397202 against the authoritative CMS record: view Kimberly Wallace MD PC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Kimberly Wallace MD PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-11-13.