Alvin Wallace, CSA

NPI 1598824096 · on the registry since 2006 · sole proprietor

Practice

Address: 20 Medical Village Dr Ste 338
Edgewood, KY 41017
Phone: (859) 341-2802
Organisation at this address: George E. Miller
Remke Medical Llc
Vincent E Ziegler, Psc
Advanced Surgical Care
Advanced Bariatric Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 113

Registry record

Primary taxonomy: 246ZS0410X
246ZS0410X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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