KENNETH F. WALLACE
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1952561375- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 280 MOUNT ZION RD SUITE D, FLORENCE, KY, 410423217
- Phone
- (859) 283-1986
- Fax
- (859) 283-2586
Specialties & Taxonomies
Dentist
Primary License: KY #6386