SearchKentucky390200000X

Dakota Wallace

NPI 1467333500 · on the registry since 2025

Practice

Address
194 Poplar Ct
Columbia, KY 42728
Phone
(812) 801-5784

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2025-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky