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Carmel Wallace, MD
NPI 1063419000 · Pediatrics Physician · Lexington, KY
Carmel Wallace, MD is a Pediatrics Physician provider in Lexington, KY (NPI 1063419000).
Provider details
- NPI number
- 1063419000
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 18479 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
138 Leader Ave, Office 241
University of Kentucky, Department of Pediatrics
Lexington, KY 40506-9983
Phone: (859) 323-1432
Fax: (859) 323-3499
Street-level locationGet directions
Mailing address
138 Leader Ave, Office 241
Lexington, KY 40506-9983
Registry dates
- Enumerated
- 2005-07-06
- Last updated
- 2015-12-18
Frequently asked questions
- What is Carmel Wallace's NPI number?
- Carmel Wallace's National Provider Identifier (NPI) is 1063419000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carmel Wallace's specialty?
- Carmel Wallace is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Carmel Wallace located?
- Carmel Wallace's practice location on file with NPPES is 138 Leader Ave, Office 241, Lexington, KY 40506-9983.
- What is Carmel Wallace's phone number?
- The practice phone number listed in the NPPES registry for Carmel Wallace is (859) 323-1432.
- Is Carmel Wallace's NPI active?
- Yes — Carmel Wallace's NPI (1063419000) is active in the NPPES registry as of the last update on 2015-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.