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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN WALLACE

Active Sole Proprietor

KATHLEEN WALLACE is a Case Manager healthcare provider located in NINILCHIK, Alaska. NPI 1669877957 is currently active in the NPPES registry. Verify at CMS.

Case Manager · NINILCHIK, AK

Registration Details

NPI Number
1669877957
Provider Type
Individual
Gender
Female
NPI Issued
Oct 29, 2014 (11.647920453245 yrs)
Last Updated
Oct 29, 2014
Sole Proprietor
Yes

Practice Information

Address
11845 STERLING HWY
NINILCHIK, AK, 996399769
Browse AK providers · Browse ZIP 99639
Phone
9075673990
Fax
9075673990
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in NINILCHIK, AK

Name Credential NPI
STORMY WALKOFF BHA-T 1164161956
MICHELLE SHEPARD 1902773153
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.