Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598737405 Individual Practitioner Male Practitioner

Dr. Kenneth K Wallace , MD

Specialist • Fort Smith, AR

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Wallace, MD is a registered healthcare professional specializing in Specialist in Fort Smith, AR. Practice services are available at 3000 ROGERS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3000 Rogers Ave

Fort Smith, AR 729014232

Telephone 4797828892
Fax 4797828840
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fort Smith, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.3 Yrs
State Avg: 33.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Fort Smith, AR (544 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AR R2091

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
55462 (AR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1063448405

Doctor of Medicine (M.D.)

NPI 1366127318

Doctor of Optometry

NPI 1467424374

Doctor of Medicine (M.D.)

NPI 1619949500

Doctor of Medicine (M.D.)

NPI 1841262730

Doctor of Medicine (M.D.)

NPI 1952373540

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3000 ROGERS AVE, FORT SMITH, AR 729014232 (Tel: 4797828892)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3000 ROGERS AVE, FORT SMITH, AR 729014232 (Tel: 4797828892)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH WALLACE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #R2091 in AR)

🟢
Initial NPI Registration & Enumeration February 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598737405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

3000 Rogers Ave

Fort Smith, AR 729014232

Phone: 4797828892

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.