Wallace, Kelley Annette

Wallace, Kelley Annette is an individual health care provider with primary practice located at 1750 Kernersville Medical Pkwy , Kernersville NC 27284-7146. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Wallace, Kelley Annette can be contacted via phone (336) 564-4866.

Contact Information

Primary practice address
1750 Kernersville Medical Pkwy Kernersville NC 27284-7146
Phone: (336) 564-4866
Fax: (336) 277-6815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO.1175 Alabama
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2012-00585 North Carolina

Profile Details

NPI number 1174753727
LBN Legal business name Wallace, Kelley Annette
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2009
Last updated May 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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