Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN WALLACE, ND
Active Sole ProprietorDR. KEVIN WALLACE, ND is a Naturopath healthcare provider located in MODESTO, California. NPI 1659760700 is currently active in the NPPES registry. Verify at CMS.
Naturopath · MODESTO, CA
Registration Details
- NPI Number
- 1659760700
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2015 (11.541814018406 yrs)
- Last Updated
- Feb 23, 2021
- License
-
707 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 JUDITH LNMODESTO, CA, 953504413Browse CA providers · Browse ZIP 95350
- Phone
- 2098094251
- Primary Specialty
-
Naturopath
175F00000X
Other Naturopath Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ZAHARA SUNDERMEYER | NMD | 1689017014 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.