Carmel Wallace Jr.
MD | Pediatrics | Male
Carmel Wallace Jr., MD is a Lexington, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Carmel Wallace Jr. is
138 Leader Ave, Office 241, University Of Kentucky, Department Of Pediatrics, Lexington, Kentucky - 40506-9983. He can be contacted on phone at
859-323-1432 and fax number 859-323-3499.
Carmel Wallace Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Carmel Wallace Jr. is
1063419000 which was assigned by NPPES on 06 Jul, 2005 and it was last updated on 18 Dec, 2015.
Carmel Wallace Jr. license number is
18479 for Pediatrics (208000000X) in Kentucky.
Carmel Wallace Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Carmel Wallace Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Carmel Wallace Jr. |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Carmel Wallace Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 138 Leader Ave, Office 241, University Of Kentucky, Department Of Pediatrics
Lexington, KY, 40506-9983
United States |
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| Phone Number : | 859-323-1432 |
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| Fax Number : | 859-323-3499 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1063419000 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Jul, 2005 |
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| Last Updated On : | 18 Dec, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carmel Wallace Jr. are as mentioned. Primary taxonomy code for Carmel Wallace Jr., MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 18479 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Carmel Wallace Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 64184799 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 138 Leader Ave, Office 241, University Of Kentucky, Department Of Pediatrics
Lexington, KY, 40506-9983
United States |
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| Phone Number : | 859-323-1432 |
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| Fax Number : | 859-323-3499 |
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Business Location:
Patients can refer following map for directions to
Carmel Wallace Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.