WALLACE L. PAST, SR. M.D. – NPI #1871868802
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
WALLACE PAST, SR. is a physician located in CRESTWOOD, KY. NPPES has assigned the NPI number 1871868802 to WALLACE PAST, SR. on March 08, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
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NPI Profile for
WALLACE L. PAST, SR.
(more than 14 years ago)
CRESTWOOD, KY 40014 Phone: (502) 614-6688 Fax: (502) 614-6688
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
IN | 01018231A |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.