Ms. Kellie L Wallace

RN, MSN | Nurse Practitioner - Psych/Mental Health

Ms. Kellie L Wallace is a Lexington, Kentucky based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Ms. Kellie L Wallace is 1077643 for Psych/Mental Health in Kentucky. Her current practice location is 1351 Newtown Pike, Lexington. Patients can reach her at 859-253-1686. Ms. Kellie L Wallace is RN, MSN with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1275826349.
Ms. Kellie L Wallace provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.

Complete Profile:
Ms. Kellie L Wallace speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Ms. Kellie L Wallace
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Female
Credentials: RN, MSN
Practice Address:1351 Newtown Pike, Lexington,
Kentucky, 40511-1275
Phone:859-253-1686
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1275826349
NPI Enumeration Date: 24 May, 2011
NPI Last Update On: 24 May, 2011

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Kellie L Wallace are as mentioned below.
License NumberSpecializationStateStatus
1077643Psych/Mental Health KentuckyPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Kellie L Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1790731081MedicaidKentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ms. Kellie L Wallace
1351 Newtown Pike,
Lexington, Kentucky
Zip: 40511-1275
Phone Number: 859-253-1686
Patients can reach Ms. Kellie L Wallace at 1351 Newtown Pike, Lexington, Kentucky or can call to book an appointment on 859-253-1686.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.