CARMEL WALLACE JR. MD
NPI 1063419000
Pediatrics in Lexington, KY

Q: What is Carmel Wallace's NPI number?

The NPI number for Carmel Wallace is 1063419000. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Q: What is Carmel Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Carmel Wallace was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 06, 2005

138 LEADER AVE, OFFICE 241, UNIVERSITY OF KENTUCKY, DEPARTMENT OF PEDIATRICS, LEXINGTON, KY 40506(859) 323-1432(859) 323-3499 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carmel Wallace Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEL WALLACE JR. MD (NPI 1063419000) is an individual pediatrics provider in Lexington, Kentucky, licensed in Kentucky (18479) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1063419000

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameCARMEL WALLACE JR.Credential: MD

Location Address138 LEADER AVE, OFFICE 241, UNIVERSITY OF KENTUCKY, DEPARTMENT OF PEDIATRICSLexington, KY 40506-9983

Mailing Address138 Leader Ave, Office 241, University Of Kentucky, Department Of PediatricsLexington, KY 40506-9983 · (859) 323-1432 · Fax (859) 323-3499

Phone(859) 323-1432

Fax(859) 323-3499

Sole ProprietorNo

Enumeration DateJuly 6, 2005

Last NPPES UpdateDecember 18, 2015

✔ NPI 1063419000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · 18479

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

138 LEADER AVE, OFFICE 241, Lexington, KY 40506

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Other Identifiers 3

Medicare ID-Type Unspecified691801

Medicaid64184799KY

Medicare UPINC69804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmel Wallace's NPI number?

The NPI number for Carmel Wallace is 1063419000. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Where is Carmel Wallace located?

Carmel Wallace practices at 138 Leader Ave, Office 241 University Of Kentucky, Department Of Pediatrics, Lexington, KY 40506. The listed phone number is (859) 323-1432.

What is Carmel Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Carmel Wallace was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.