IndividualActive
Alvin Wallace, CSA
NPI 1598824096 · Surgical Technologist · Edgewood, KY
Provider details
- NPI number
- 1598824096
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
20 Medical Village Dr Ste 338
Edgewood, KY 41017-5414
Phone: (859) 341-2802
Approximate (ZIP-level) locationGet directions
Mailing address
119 Market St
Ripley, OH 45167-1125
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.