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

Mr. Christopher Edward Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619715398

Mr. Christopher Edward Wallace is a Student in an Organized Health Care Education/Training Program in Edgewood, Kentucky. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

413 S Loop Rd
Edgewood, KY 41017-5446
Phone: (859) 301-3800
Fax: (859) 301-3987
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619715398
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 17, 2024
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address413 S Loop Rd, Edgewood, KY 41017-5446

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