Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alvin Joseph Wallace, CSA

Individual provider Surgical Technologist · NPI 1598824096

Alvin Joseph Wallace, CSA is a Surgical Technologist in Edgewood, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006
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Practice location Address checks out

20 Medical Village Dr Ste 338
Edgewood, KY 41017-5414
Phone: (859) 341-2802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X (KY)

Record details

NPI number1598824096
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedDecember 8, 2006
Last updated in NPPESJuly 8, 2007
Mailing address119 Market St, Ripley, OH 45167-1125