KELLIE L WALLACE

LEXINGTON, KY
NPI1275826349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  1077643)
Enumeration Date2011-05-24
Last Update Date2011-05-24
Business Address
Ms. KELLIE L WALLACE RN, MSN
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1275
Phone number: 859-253-1686
Mailing Address
Ms. KELLIE L WALLACE RN, MSN
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1275
Phone number: 859-253-1686