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

JERALD PAYDEN WALLACE, M.D.

Active

JERALD PAYDEN WALLACE, M.D. is a General Surgery healthcare provider located in LEXINGTON, Kentucky. NPI 1730591017 is currently active in the NPPES registry. Verify at CMS.

General Surgery · LEXINGTON, KY

Registration Details

NPI Number
1730591017
Provider Type
Individual
Gender
Male
NPI Issued
May 21, 2014 (12.26069254292 yrs)
Last Updated
Jul 7, 2016
License
49437 (KY)

Practice Information

Address
800 ROSE ST
C246
LEXINGTON, KY, 405360293
Browse KY providers · Browse ZIP 40536
Phone
8593236162
Primary Specialty
General Surgery
208600000X

Other General Surgery Providers in LEXINGTON, KY

Name Credential NPI
JOHN M HARRIS M.D. 1083619886
JASON P HARRIS M.D. 1891791158
DR. WM. DENNIS NEWTON M.D. 1124025630
DR. COLBY P. ATKINS M.D. 1457358863
DR. JOSHUA P. STEINER M.D. 1972500387
DR. THOMAS H. GREENLEE M.D. 1487651709
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.