Search › Kentucky › 122300000X
Kenneth Wallace, DMD
NPI 1942342548 · on the registry since 2007
Practice
- Address
- 280 Mt Zion Rd
Suite D
Florence, KY 41042 - Phone
- (859) 283-1986
- Fax
- (859) 283-2586
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-11-04
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