Wallace, Kenneth F
Wallace, Kenneth F is an individual health care provider with primary practice located at 280 Mt Zion Rd Suite D, Florence KY 41042. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wallace, Kenneth F can be contacted via phone (859) 283-1986.Contact Information
Primary practice address
280 Mt Zion Rd Suite D
Florence KY 41042
Phone: (859) 283-1986
Fax: (859) 283-2586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6386 | Kentucky |
Profile Details
| NPI number | 1942342548 |
|---|---|
| LBN Legal business name | Wallace, Kenneth F |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Nov 4th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942342548 | NPPES |
| Kentucky | MEDICAID | 61942850 |
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