ALLEN KEITH WALLACE

LOUISVILLE, KY
NPI1992398184
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2021-02-18
Last Update Date2021-02-18
Business Address
Mr. ALLEN KEITH WALLACE
1600 RIVER SHORE DR APT 2040
LOUISVILLE, KY 40206-1913
Phone number: 901-212-9333
Mailing Address
Mr. ALLEN KEITH WALLACE
1600 RIVER SHORE DR APT 2040
LOUISVILLE, KY 40206-1913
Phone number:
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