Individual provider · Type 1 NPI
Julie Wallace
Military Health Care Provider · Kansas City, MO
NPI number
1215829528
Active
Practice location
319 E 125th Ter
Kansas City, MO 64145-1659
Mailing address
501 E 108th Ter
Kansas City, MO 64131-4019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Other military health care provider providers in Kansas City
About NPI 1215829528
Julie Wallace's National Provider Identifier is 1215829528, issued on Jul 21, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 21, 2025.