Carmel Wallace JR., MD

NPI #1063419000 in Lexington, Kentucky

Provider Information

NPI Number: 1063419000
Entity Type: Individual
Name: Carmel Wallace JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jul 6, 2005
Last Updated: Dec 18, 2015

Practice Location

Address: 138 LEADER AVE, OFFICE 241
Address 2: UNIVERSITY OF KENTUCKY, DEPARTMENT OF PEDIATRICS
City: Lexington
State: Kentucky
ZIP Code: 40506-9983
Phone: (859) 323-1432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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