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NPI 1669936621

IndividualActive

Alisa Wallace

NPI 1669936621 · Case Manager/Care Coordinator · Monticello, KY

Provider details

NPI number: 1669936621
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Female
Sole proprietor: No

Practice location

803 Columbia Ave

Monticello, KY 42633

Phone: (606) 348-9318

More KY providers

Mailing address

130 Southern School Rd

Somerset, KY 42501-3223

Registry dates

Enumerated: 2019-01-24
Last updated: 2019-01-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alisa Wallace — NPI 1669936621, Monticello, KY | NPI Central