Individual
DR. CYNTHIA CALBERT WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4320 WORNALL RD, SUITE 720, KANSAS CITY, MO 64111-5941
(816) 531-2111
(816) 531-6025
Mailing address
2000 SE BLUE PKWY STE 270B, LEES SUMMIT, MO 64063-1029
(816) 333-5005
(816) 333-6351
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
R1G97
MO
207VG0400X
Gynecology Physician
Primary
R1G97
MO
Other
Enumeration date
03/29/2006
Last updated
01/04/2022
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