KELLEY ANNETTE WALLACE

KERNERSVILLE, NC
NPI1174753727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: NC  2012-00585)
Additional Taxonomies207R00000X Internal Medicine
(Licence: AL  DO.1175)
Enumeration Date2009-07-16
Last Update Date2023-05-23
Business Address
KELLEY ANNETTE WALLACE DO
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284-7146
Phone number: 336-564-4866
Mailing Address
KELLEY ANNETTE WALLACE DO
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 336-564-4866