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David W Wallace, MDMBA
Family Medicine Physician in Shelbyville, Kentucky
NPI 1376532168

David W Wallace is a Family Medicine Physician based in Louisville, KY. David W Wallace practices in Shelbyville, KY and has the professional credentials of MDMBA. The NPI Number for David W Wallace is 1376532168 and holds a License No. 22054 (Kentucky).

The current practice location address for David W Wallace is 515 Hospital Dr, Shelbyville, KY and can be reached out via phone at 502-633-3525 and via fax at 502-633-8075.

Location: 515 Hospital Dr, Shelbyville, KY, 40202-1428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376532168
Provider Name
David W Wallace
Credential
MDMBA
Provider Entity Type
Individual
Gender
Male
Address
515 Hospital Dr, Shelbyville, KY, 40202-1428
Phone Number
502-633-3525
Fax Number
502-633-8075
Provider Enumeration Date
10/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0100487 01 UHC
P00872496 01 KY RR MEDICARE
000000048268 01 KY ANTHEM
64220544 05 KY
institution
Provider Business Practice Location Address Details
Address
515 Hospital Dr
City
Shelbyville
State
Kentucky
Zip
40065-1640
Phone Number
502-633-3525
Fax Number
502-633-8075
person
Provider Business Mailing Address Details
Address
515 Hospital Dr
City
Shelbyville
State
Kentucky
Zip
40065-1640
Phone Number
502-633-3525
Fax Number
502-633-8075
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
22054 (Kentucky)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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