Dr. Kenneth C Wallis is a Davis, California based psychiatrist who is specialized in Psychiatry. Active license number of Dr. Kenneth C Wallis is 811674181205 for Psychiatry in Utah. His current practice location is 1260 Lake Blvd, Suite #214, Davis. Patients can reach him at 530-771-2308 or can fax him at 530-771-2309. Dr. Kenneth C Wallis is M.D. in Psychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1649243692. Dr. Kenneth C Wallis specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Profile:
Dr. Kenneth C Wallis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Kenneth C Wallis
Specialization:
Psychiatry
Gender:
Male
Credentials:
M.D.
Practice Address:
1260 Lake Blvd, Suite #214, Davis, California, 95616-2614
Phone:
530-771-2308
Fax:
530-771-2309
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:
1649243692
NPI Enumeration Date:
09 Feb, 2006
NPI Last Update On:
09 Jul, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth C Wallis are as mentioned below.
License Number
Specialization
State
Status
811674181205
Psychiatry
Utah
Primary
C-41960
Psychiatry
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth C Wallis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
107005564101
Other
Utah
INTRMTN. HEALTH CARE
261795
Other
Utah
DESERET MUTUAL
942938348WA1
Other
Utah
EDUCATORS MUTUAL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Kenneth C Wallis 1260 Lake Blvd, Suite #214 Davis, California
Zip:
95616-2614
Phone Number:
530-771-2308
Fax Number:
530-771-2309
Patients can reach Dr. Kenneth C Wallis at 1260 Lake Blvd, Suite #214, Davis, California or can call to book an appointment on 530-771-2308.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.