MATTHEW RICHARD WALLACE

LEXINGTON, KY
NPI1902611882
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  4044992)
Enumeration Date2025-02-10
Last Update Date2025-09-08
Business Address
-- MATTHEW RICHARD WALLACE DNP, APRN, PMHNP-BC
1000 S LIMESTONE
LEXINGTON, KY 40506-0007
Phone number: 859-562-7371
Mailing Address
-- MATTHEW RICHARD WALLACE DNP, APRN, PMHNP-BC
1000 S LIMESTONE
LEXINGTON, KY 40536-0001
Phone number:
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