KANDACE MARIE WALL

LEXINGTON, KY
NPI1144562620
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3007996)
Enumeration Date2013-03-21
Last Update Date2015-02-09
Business Address
Mrs. KANDACE MARIE WALL APRN
1792 ALYSHEBA WAY SUITE 150
LEXINGTON, KY 40509-2288
Phone number: 859-335-9041
Mailing Address
Mrs. KANDACE MARIE WALL APRN
3851 DYLAN PL
LEXINGTON, KY 40514-1062
Phone number: 606-669-8601