CARMEL WALLACE JR., MD

Pediatrics

Active Individual
NPI: 1063419000

Practice Address

138 LEADER AVE, OFFICE 241
UNIVERSITY OF KENTUCKY, DEPARTMENT OF PEDIATRICS
Lexington, KY 40506

Phone: (859) 323-1432

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 18479 (KY)

Frequently Asked Questions

NPI 1063419000 is the National Provider Identifier for CARMEL WALLACE JR., MD, a Pediatrics provider located in Lexington, KY. This NPI was enumerated on July 6, 2005.
CARMEL WALLACE JR., MD practices at 138 LEADER AVE, OFFICE 241, UNIVERSITY OF KENTUCKY, DEPARTMENT OF PEDIATRICS, Lexington, KY 40506.

Quick Facts

NPI
1063419000
Type
Individual
Enumerated
Jul 6, 2005
Last Updated
Dec 18, 2015

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