Kenneth F. Wallace

LBN: Kenneth F. Wallace
Kenneth F. Wallace is an health care organization with primary practice located at 280 Mount Zion Rd Suite D, Florence KY 41042-3217. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Kenneth F. Wallace can be contacted via phone (859) 283-1986, or through Wallace, Kenneth Franklin via phone (859) 283-1986.

Contact Information

Primary practice address
280 Mount Zion Rd Suite D Florence KY 41042-3217
Phone: (859) 283-1986
Fax: (859) 283-2586
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Kenneth Franklin Doctor of Dental Medicine (DMD)
Phone: (859) 283-1986

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6386 Kentucky

Profile Details

NPI number 1952561375
LBN Legal business name Kenneth F. Wallace
DBA Doing business as
Authorized official Wallace, Kenneth Franklin Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2008
Last updated Jun 10th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952561375 NPPES
Kentucky MEDICAID 60063864

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