DR. KRISTEN KOENIG WALLIN (M.D.) – Family Medicine Physician, NPI 1376770677
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KRISTEN KOENIG WALLIN (M.D.)
6600 VAN AASLT BLVD
FORT BENNING, GA 31905
Phone: (908) 210-3797
Type: Mailing
6600 VAN AALST BLVD
FORT MOORE, GA 319052102
Phone: (762) 408-2655
Type: Mailing
101 Pilgrim Village Dr Ste 400
Cumming, GA 300402595
Phone: (770) 441-4824
Type: Location
50 S B B KING BLVD # 100
MEMPHIS, TN 381032626
Phone: (901) 436-1381
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-11-09
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31905)
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