Individual provider · Type 1 NPI
Kellie L. Wallace, RN, MSN
Psychiatric/Mental Health Nurse Practitioner · Lexington, KY
NPI number
1275826349
Active
Practice location
1351 Newtown Pike
Lexington, KY 40511-1275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1077643 (KY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1275826349
Kellie L. Wallace, RN, MSN's National Provider Identifier is 1275826349, issued on May 24, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lexington, KY. The record was last updated on May 24, 2011.