Individual provider · Type 1 NPI

Kiara Learlene Wallace, MD

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1053008078 Active

Practice location

550 S Jackson St Fl 2
Louisville, KY 40202-1622

Call (502) 561-7448 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053008078

Kiara Learlene Wallace, MD's National Provider Identifier is 1053008078, issued on Apr 19, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Apr 19, 2023.