Individual
ALLISON KAY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1600 MEDICAL CENTER DR STE B500, HUNTINGTON, WV 25701-3655
(304) 691-1787
(304) 691-8711
Mailing address
5319 DUNKLE BRANCH RD, LAVALETTE, WV 25535-9734
(304) 654-7381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
86389
WV
Other
Enumeration date
01/30/2019
Last updated
01/13/2023
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