DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLEY ANNETTE WALLACE, DO

Active

KELLEY ANNETTE WALLACE, DO is a Hospitalist healthcare provider located in KERNERSVILLE, North Carolina. NPI 1174753727 is currently active in the NPPES registry. Verify at CMS.

Hospitalist · KERNERSVILLE, NC

Registration Details

NPI Number
1174753727
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2009 (17.080828459923 yrs)
Last Updated
May 23, 2023
Licenses
DO.1175 (AL)
2012-00585 (NC)

Practice Information

Address
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC, 272847146
Browse NC providers · Browse ZIP 27284
Phone
3365644866
Fax
3362776815
Primary Specialty
Hospitalist
208M00000X
Additional Specialty
Hospitalist

Other Hospitalist Providers in KERNERSVILLE, NC

Name Credential NPI
DR. FERNANDO CROTTE M.D. 1619968864
DR. FRANCES E. DECHURCH M.D. 1053402230
DR. CORY JOHN SESSOMS MD 1871751222
SOMMANY WEBER D.O. 1538395546
DR. FARHEEN SUROOR QURESHI D.O. 1811286891
DR. ANATOLE HOUNNOU D.O. 1922399930
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.