Individual
DR. CHELSEA CERNOSEK WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0293
(859) 257-8344
(859) 323-2441
Mailing address
740 S LIMESTONE, KY CLINIC, STE E101, LEXINGTON, KY 40536-0293
(859) 257-5270
(859) 257-9501
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
R3883
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2015
Last updated
06/30/2016
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