MS. DONETTA WALLACE, P.A.-C
Physician Assistant
Active
Individual
NPI: 1417958828
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | PA544 (KY) |
| Physician Assistant | 363A00000X | Yes | PA544 (KY) |
Frequently Asked Questions
NPI 1417958828 is the National Provider Identifier for MS. DONETTA WALLACE, P.A.-C, a Physician Assistant provider located in Paintsville, KY. This NPI was enumerated on August 9, 2005.
MS. DONETTA WALLACE, P.A.-C practices at 336 N MAYO TRL, Paintsville, KY 41240.
Quick Facts
- NPI
- 1417958828
- Type
- Individual
- Enumerated
- Aug 9, 2005
- Last Updated
- Feb 1, 2022
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