Search › Kentucky › 207RC0200X
Thomas Wallace, M.D
NPI 1700822822 · on the registry since 2006
Practice
- Address
- 740 S Limestone
L543, Kentucky Clinic
Lexington, KY 40536 - Phone
- (859) 323-5045
- Fax
- (859) 257-2418
- Organisation at this address
- Uk Ot Group
Tracy Profitt
Uk Optical Shop
University Of Kentucky
University Of KentuckyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 701
Additional practice sites
- 4015 Gateway Blvd, Newburgh, IN
- 519 Harriet St, Evansville, IN
- 327 Medical Park Dr, Bridgeport, WV
Registry record
- Primary taxonomy
- 207RC0200X
207RC0200X
- Also registered as
- 207RC0200X
207RP1001X
207RP1001X
207R00000X
207RC0200X - Licence states on file
- TN, WV, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-02
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