Search › California › 175F00000X
Kevin Wallace, ND
NPI 1659760700 · on the registry since 2015 · sole proprietor
Practice
- Address
- 205 Judith Ln
Modesto, CA 95350 - Phone
- (209) 809-4251
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 175F00000X
175F00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California