All Medicaid billing entities listing WALLACE, KIMBERLY (PRESIDENT/PROGRAM DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Michigan | 1 | $66K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | KIMBERLY WALLACE MD PC | OAK PARK, MI | Medical Specialty Clinic/Center | $66K |