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Physician Profile

Kenneth C. Wallis, M.D.

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Where to find Kenneth C. Wallis, M.D.

About Dr. Wallis

Based in Davis, CA, Kenneth C. Wallis, M.D. is listed in the NPI registry under psychiatry. NPI 1649243692 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Psychiatry (Primary)

Credentials & Licensing

CA · Physician and Surgeon CMedical Board of California
No. 41960CurrentExpires Dec 31, 2026Since 1985
UT licenceAs reported to the NPI registry
No. 811674181205As reported
NPINational Provider Identifier
1649243692Issued 2006

Snapshot · verify with the board ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Kenneth C. Wallis specialize in?

Kenneth C. Wallis is a psychiatrist in Davis, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Psychiatry”.

NPI registry

Where is Kenneth C. Wallis located?

Kenneth C. Wallis is listed at 1260 Lake Blvd Suite #214, Davis, CA 95616. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Kenneth C. Wallis's phone number?

The number on file is (530) 771-2308. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kenneth C. Wallis's NPI number?

Kenneth C. Wallis's National Provider Identifier is 1649243692. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Kenneth C. Wallis been practicing?

Kenneth C. Wallis has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Kenneth C. Wallis confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kenneth C. Wallis. If this is you, claiming it is free.

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