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MR. CHRISTOPHER EDWARD WALLACE
NPI 1619715398
Student in an Organized Health Care Education/Training Program in Edgewood, KY

Active since July 17, 2024
413 S LOOP RD, EDGEWOOD, KY 41017(859) 301-3800(859) 301-3987 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Apr 16, 2026, Jul 17, 2024 (3 updates tracked since 2024).

About Mr. Christopher Edward Wallace NPPES

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

MR. CHRISTOPHER EDWARD WALLACE (NPI 1619715398) is an individual student in an organized health care education/training program in Edgewood, Kentucky and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1619715398
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. CHRISTOPHER EDWARD WALLACE
Location Address413 S LOOP RDEdgewood, KY 41017-5446
Mailing Address413 S Loop RdEdgewood, KY 41017-5446 · (859) 301-3800 · Fax (859) 301-3987
Phone(859) 301-3800
Fax(859) 301-3987
Sole ProprietorNo
Enumeration DateJuly 17, 2024
Last NPPES UpdateApril 22, 20263 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1619715398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
413 S LOOP RD, Edgewood, KY 41017
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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.

KARL M SCHMITT M.D.
Family Medicine
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
VICTORIA GRIFFITH WILLIAMS MD
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
JACLYN REPLOGLE LCSW
Social Worker
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
MARGARET RAE WOODRUFF
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
LAUREN ASHLEY LAWRENCE DO
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
TREVOR JORDAN HOFFMAN MD
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
ANGELA WARNING MD
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
AMANDA GABRIELLE JEFFRIES DO
Family Medicine
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800

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 Christopher Wallace's NPI number?

The NPI number for Christopher Wallace is 1619715398. It was assigned to this individual provider in the NPPES registry on July 17, 2024.

Where is Christopher Wallace located?

Christopher Wallace practices at 413 S Loop Rd, Edgewood, KY 41017. The listed phone number is (859) 301-3800.

What is Christopher Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Christopher Wallace was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.