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MS. KELLIE L WALLACE RN, MSN
NPI 1275826349
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Active since May 24, 2011
1351 NEWTOWN PIKE, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: May 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kellie L Wallace Rn, Msn NPPES

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

MS. KELLIE L WALLACE RN, MSN (NPI 1275826349) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (1077643) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1275826349
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. KELLIE L WALLACECredential: RN, MSN
Location Address1351 NEWTOWN PIKELexington, KY 40511-1275
Mailing Address1351 Newtown PikeLexington, KY 40511-1275 · (859) 253-1686
Phone(859) 253-1686
Sole ProprietorNo
Enumeration DateMay 24, 2011
✔ NPI 1275826349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 1077643
1351 NEWTOWN PIKE, Lexington, KY 40511
Open in Google Maps ↗

Other Identifiers 1

Medicaid1790731081KY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH E FORD
Counselor (Mental Health)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MICHAEL S STRATTON
Counselor (Mental Health)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MRS. ANDREA C COATES LCSW
Social Worker
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
TEONNA WILSON
Counselor (Mental Health)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
HOLLY L DICKISON
Social Worker
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MR. JAMES M MOUGHAN CPSYAF
Psychologist (Clinical)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MS. LINDA J THOMAS MS, LPCC
Counselor (Professional)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 233-0444
BRYAN L MANNING LPCC
Counselor (Professional)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686

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 Kellie Wallace's NPI number?

The NPI number for Kellie Wallace is 1275826349. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Where is Kellie Wallace located?

Kellie Wallace practices at 1351 Newtown Pike, Lexington, KY 40511. The listed phone number is (859) 253-1686.

What is Kellie Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kellie Wallace was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.