KENNETH F. WALLACE

FLORENCE, KY
NPI1952561375
Entity TypeOrganization
Authorized ContactKENNETH FRANKLIN WALLACE
Dentist
859-283-1986
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: KY  6386)
Enumeration Date2008-06-10
Last Update Date2008-06-10
Business Address
KENNETH F. WALLACE
280 MOUNT ZION RD SUITE D
FLORENCE, KY 41042-3217
Phone number: 859-283-1986
Mailing Address
KENNETH F. WALLACE
280 MOUNT ZION RD SUITE D
FLORENCE, KY 41042-3217
Phone number: 859-283-1986