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

Deborah I Wallace, MD

Individual provider Pediatrics Physician · NPI 1184654709

Deborah I Wallace, MD is a Pediatrics Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3840 Ruckriegel Pkwy Ste 105
Louisville, KY 40299-6835
Phone: (502) 261-7227
Fax: (844) 965-9615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 39992 (KY)

Record details

NPI number1184654709
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021

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