Individual
DR. WALLACE KEMPER ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-4835
(802) 847-5322
Mailing address
106 COLCHESTER AVE, BURLINGTON, VT 05401-1417
(802) 847-4835
(802) 847-5322
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
042.0008736
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0645
—
VT
Enumeration date
07/09/2006
Last updated
12/08/2025
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