Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KOJO WALLACE, MD
Active Sole ProprietorKOJO WALLACE, MD is a Trauma Surgery healthcare provider located in LYNCHBURG, Virginia. NPI 1720475866 is currently active in the NPPES registry. Verify at CMS.
Trauma Surgery · LYNCHBURG, VA
Registration Details
- NPI Number
- 1720475866
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2015 (11.35415101416 yrs)
- Last Updated
- Jul 11, 2025
- License
-
0101285554 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
CENTRA LYNCHBURG GENERAL HOSPITAL1901 TATE SPRINGS RDLYNCHBURG, VA, 24501Browse VA providers · Browse ZIP 24501
- Phone
- 4342003000
- Primary Specialty
-
Trauma Surgery
2086S0127X
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.