Mr. Allen Keith Wallace Jr.
Mr. Allen Keith Wallace Jr. is an Athletic Trainer in Louisville, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1600 River Shore Dr Apt 2040Louisville, KY 40206-1913
Phone: (901) 212-9333
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1992398184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 18, 2021 |
| Last updated in NPPES | February 18, 2021 |
| Certification date | February 18, 2021 |
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