ALVIN JOSEPH WALLACE CSA
NPI 1598824096
in Edgewood, KY

Active since December 08, 2006
20 MEDICAL VILLAGE DR STE 338, EDGEWOOD, KY 41017(859) 341-2802 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alvin Joseph Wallace Csa NPPES

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

ALVIN JOSEPH WALLACE CSA (NPI 1598824096) is an individual healthcare provider in Edgewood, Kentucky and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1598824096
Entity TypeIndividualMale
Primary Taxonomy246ZS0400X
Provider Legal NameALVIN JOSEPH WALLACECredential: CSA
Location Address20 MEDICAL VILLAGE DR STE 338Edgewood, KY 41017-5414
Mailing Address119 Market StRipley, OH 45167-1125 · (937) 392-1547
Sole ProprietorYes
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1598824096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary Specialty
Taxonomy Code246ZS0400X
20 MEDICAL VILLAGE DR STE 338, Edgewood, KY 41017

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 Alvin Wallace's NPI number?

The NPI number for Alvin Wallace is 1598824096. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Alvin Wallace located?

Alvin Wallace practices at 20 Medical Village Dr Ste 338, Edgewood, KY 41017. The listed phone number is (859) 341-2802.

When was this NPI record last updated?

The NPPES record for Alvin Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.