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

DAVID W WALLACE, MD MBA

Active

DAVID W WALLACE, MD MBA is a Family Medicine healthcare provider located in SHELBYVILLE, Kentucky. NPI 1376532168 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SHELBYVILLE, KY

Registration Details

NPI Number
1376532168
Provider Type
Individual
Gender
Male
NPI Issued
Oct 14, 2005 (20.790596980919 yrs)
Last Updated
Jul 21, 2022
License
22054 (KY)

Practice Information

Address
515 HOSPITAL DR
SUITE 1
SHELBYVILLE, KY, 400651640
Browse KY providers · Browse ZIP 40065
Phone
5026333525
Fax
5026338075
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in SHELBYVILLE, KY

Name Credential NPI
DR. BROOK THOMAS MASSEY MD 1679578058
MEREDITH LEA KEHRER MD 1811992969
DR. KENNETH REED GRAVETT DO 1548261191
DR. WILLIAM POWERS MD 1992797021
DR. RONALD E WALDRIDGE SR. MD 1356333553
PAUL A GOODLETT MD 1770575979
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.