Kristen S Wallis

MD | Pediatrics | Female

Kristen S Wallis, MD is a Hamden, Connecticut based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Kristen S Wallis is 299 Washington Ave, Hamden, Connecticut - 06518-3026. She can be contacted on phone at 203-288-4288 and fax number 855-414-4010. Kristen S Wallis is a sole proprietor of her business.
NPI number (Unique professional ID) for Kristen S Wallis is 1568662492 which was assigned by NPPES on 19 Jul, 2007 and it was last updated on 30 Apr, 2021. Kristen S Wallis license number is 046513 for Pediatrics (208000000X) in Connecticut.
Kristen S Wallis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kristen S Wallis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Kristen S Wallis
Credential :MD
Gender :Female
Business Address:
Kristen S Wallis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :299 Washington Ave
Hamden, CT, 06518-3026
United States
Phone Number :203-288-4288
Fax Number :855-414-4010
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1568662492
NPI Entity Type : Individual
First Enrolment Date : 19 Jul, 2007
Last Updated On : 30 Apr, 2021
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kristen S Wallis are as mentioned. Primary taxonomy code for Kristen S Wallis, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsNo244100NY
208000000XPediatricsYes046513CT
Legacy Identifiers:
Other legacy medical identifiers of Kristen S Wallis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
02896880MEDICAIDCT
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
kristen.wallis.1@7895.direct.athenahealth.com

No affiliationDIRECT
Direct
CSV
CSV
299 WASHINGTON AVE,
HAMDEN, CT, 06518-3026
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :299 Washington Ave
Hamden, CT, 06518-3026
United States
Phone Number :203-288-4288
Fax Number :203-288-1566
Business Location:
Patients can refer following map for directions to Kristen S Wallis practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.