Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARMEL WALLACE JR., MD
ActivePediatrics · LEXINGTON, KY
Registration Details
- NPI Number
- 1063419000
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2005 (20.792386617043 yrs)
- Last Updated
- Dec 18, 2015
- License
-
18479 (KY)
Practice Information
- Address
-
138 LEADER AVE, OFFICE 241UNIVERSITY OF KENTUCKY, DEPARTMENT OF PEDIATRICSLEXINGTON, KY, 405069983Browse KY providers · Browse ZIP 40506
- Phone
- 8593231432
- Fax
- 8593233499
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in LEXINGTON, KY
| Name | Credential | NPI |
|---|---|---|
| BARRY W RAMSEY | MD | 1073519641 |
| JACQUELINE M CAMPBELL | MD | 1366448938 |
| REBECCA G BOSOMWORTH | MD | 1124024708 |
| AURELIA RADULESCU | MD | 1912994419 |
| THOMAS ALLAN WOODWARD | MD | 1760472658 |
| DR. JANE SEYLER | M.D. | 1982683629 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.