NPI Profile for Dr CHELSEA C WALLACE in LEXINGTON, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1306229620 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 07/06/2015 | |
| Last updated | 06/30/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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CHELSEA C WALLACE
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