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 |
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| Gender : | Female |
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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 |
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| First Enrolment Date : | 19 Jul, 2007 |
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| Last Updated On : | 30 Apr, 2021 |
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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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 244100 | NY |
| 208000000X | Pediatrics | Yes | 046513 | CT |
Legacy Identifiers:
Other legacy medical identifiers of Kristen S Wallis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02896880 | MEDICAID | CT | |
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 Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | kristen.wallis.1@7895.direct.athenahealth.com
| No affiliation | DIRECT
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 |
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| 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. Last updated on 08 January, 2024.