Kent William Wallace, PA-C, ARNP

  • Everett, WA
  • Surgical physician assistant
NPI1770662835
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2006
Practice locations
2
Practice address
12303 Ne 130th Ln, Kirkland, WA 98034-3099
Practice phone
Call (425) 899-5510
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

PA Surgical Services

NP / PA-led clinic · Kirkland, Washington

See all 2 affiliations

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Kent William Wallace is a surgical physician assistant in Everett, Washington

Kent Wallace practices at PA Surgical Services in Kirkland, Washington.

Kent Wallace's NPI, 1770662835, was assigned on November 2, 2006. Kent Wallace holds Washington license PA10000442.

NPI and contact details
NPI enumeration date
November 2, 2006
NPI status
Active
Practice phone
(425) 899-5510
Professional email
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Personal email
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Mobile number
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Sex
Male

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Kent William Wallace practices in Kirkland and Everett

Kent Wallace's primary practice is PA Surgical Services, at 12303 Ne 130th Ln, Kirkland, WA 98034-3099. The practice phone is (425) 899-5510. The NPI Registry lists Kent Wallace's practice address as 1321 Colby Ave, Everett, WA 98201.

  • PA Surgical ServicesPrimary
    12303 Ne 130th Ln, Kirkland, WA 98034-3099Phone(425) 899-5510
  • NPI Registry address
    1321 Colby Ave, Everett, WA 98201Phone(425) 261-2000

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data

Kent William Wallace is affiliated with 1 site of care and 1 medical group

Kent Wallace's primary practice is PA Surgical Services in Kirkland, Washington. Dmand AI also links Kent Wallace to 1 medical group, named with a free account.

PA Surgical ServicesNP / PA-led clinic · Kirkland, WashingtonPrimary
1 medical groupName with a free account
See all 2 affiliations for Kent Wallace

Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dmand AI tracks the EHR system at Kent William Wallace's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Kent Wallace practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
PA Surgical ServicesAvailable with a free account
+1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Kent William Wallace is one of 535 surgical physician assistants in Washington

Surgical is Kent Wallace's primary specialty in the NPI Registry, under taxonomy code 363AS0400X. Kent Wallace is licensed in Washington.

Specialties and state licenses

  • Surgical physician assistant, WashingtonPrimaryLicense PA10000442 · taxonomy 363AS0400X

Surgical physician assistants near Kent Wallace

Counts of surgical physician assistants with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Sources for Kent William Wallace's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Kent William Wallace

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Kent William Wallace's NPI number?

Kent William Wallace's NPI number is 1770662835. It was assigned on November 2, 2006, and it is active in the NPI Registry.

What does Kent William Wallace specialize in?

Kent William Wallace is a surgical physician assistant in Everett, Washington. The primary specialty in the NPI Registry is Surgical Physician Assistant (taxonomy code 363AS0400X).

Where does Kent William Wallace practice?

Kent Wallace practices at 12303 Ne 130th Ln, Kirkland, WA 98034-3099. Kent Wallace also practices at 1321 Colby Ave, Everett, WA 98201. Kent Wallace's primary practice is PA Surgical Services in Kirkland, Washington. Dmand AI also links Kent Wallace to 1 medical group.

What is Kent William Wallace's office phone number?

The practice phone on file for Kent Wallace is (425) 899-5510.

What is Kent William Wallace's medical license number?

Kent Wallace holds Washington license PA10000442.

How long has Kent William Wallace been practicing?

Kent Wallace's NPI was assigned in 2006.

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