| Kenneth F. Wallace | |
|
280 Mount Zion Rd Suite D Florence KY 41042-3217 | |
| (859) 283-1986 | |
| (859) 283-2586 |
| Full Name | Kenneth F. Wallace |
|---|---|
| Speciality | Dentist |
| Location | 280 Mount Zion Rd, Florence, Kentucky |
| Authorized Official Name and Position | Kenneth Franklin Wallace (DENTIST) |
| Authorized Official Contact | 8592831986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth F. Wallace 280 Mount Zion Rd Suite D Florence KY 41042-3217 Ph: (859) 283-1986 | Kenneth F. Wallace 280 Mount Zion Rd Suite D Florence KY 41042-3217 Ph: (859) 283-1986 |
| NPI Number | 1952561375 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952561375 | NPI | - | NPPES |
| 60063864 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6386 (Kentucky) | Primary |
Marc L. Marlette, Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7303 Us Highway 42, Florence, KY 41042 Phone: 859-283-0033 | |
Alex Mayes Young Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7400 Us 42, Florence, KY 41042 Phone: 859-525-2100 Fax: 502-742-0666 | |
Shelley Shearer Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6909 Burlington Pike, Suite A, Florence, KY 41042 Phone: 859-647-7068 Fax: 859-647-7038 | |