Individual
KALI WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9420 BROWNSBORO RD, LOUISVILLE, KY 40241-1118
(502) 426-4264
(502) 426-4261
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 253-1035
(502) 253-1037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005763
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100087520
—
KY
Enumeration date
10/29/2008
Last updated
09/16/2025
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