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

David W Wallace, MDMBA

Individual provider Family Medicine Physician · NPI 1376532168

David W Wallace, MDMBA is a Family Medicine Physician in Shelbyville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005

Practice location Address checks out

515 Hospital Dr Ste 1
Shelbyville, KY 40065-1640
Phone: (502) 633-3525
Fax: (502) 633-8075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22054 (KY)

Record details

NPI number1376532168
Entity typeIndividual (Type 1)
GenderMale
Credentials MDMBA
Sole proprietorNo
NPI enumeratedOctober 14, 2005
Last updated in NPPESJuly 21, 2022
Mailing address100 E Liberty St Ste 800, Louisville, KY 40202-1428

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