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Allen Wallace

NPI 1992398184 · on the registry since 2021 · sole proprietor

Practice

Address
1600 River Shore Dr Apt 2040
Louisville, KY 40206
Phone
(901) 212-9333

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Sex
Male
Record last updated
2021-02-18

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