IndividualActive
Kojo Wallace, MD
NPI 1720475866 · Trauma Surgery Physician · Lynchburg, VA
Provider details
- NPI number
- 1720475866
- Entity type
- Individual
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101285554 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Centra Lynchburg General Hospital
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone: (434) 200-3000
Approximate (ZIP-level) locationGet directions
Mailing address
909 Station Way
Huntington Station, NY 11746-1971
Registry dates
- Enumerated
- 2015-04-15
- Last updated
- 2025-07-11
- Certified
- 2025-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.