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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.