Alisa D. Wallace

Case Manager/Care Coordinator · Monticello, KY

Individual Active NPI

NPI number 1669936621

Practice location

803 Columbia Ave
Monticello, KY 42633
Phone
(606) 348-9318

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NPI record

NPI
1669936621
Entity type
Individual (Type 1)
Enumeration date
January 24, 2019
Last updated
January 24, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

130 Southern School Rd
Somerset, KY 42501-3223
Phone
(606) 679-4782

About Alisa Wallace

Alisa D. Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 803 Columbia Ave, Monticello, KY 42633. The NPI number 1669936621 was assigned on January 24, 2019 and the record was last updated on January 24, 2019.

Frequently asked questions

What is the NPI number of Alisa D. Wallace?

The NPI number is 1669936621.

What is the phone number of Alisa Wallace?

The phone number listed for the practice location is (606) 348-9318.

Where is Alisa Wallace located?

803 Columbia Ave, Monticello, KY 42633.

What is the taxonomy code for Alisa Wallace?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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