Individual provider · Type 1 NPI

Kelly J. Wallin

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1447575709 Active

Practice location

2025 Morse Ave
Sacramento, CA 95825-2115

Call (916) 973-6961 Map

Mailing address

1890 Geneva Pl
Sacramento, CA 95825-1315

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447575709

Kelly J. Wallin's National Provider Identifier is 1447575709, issued on Mar 30, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Dec 15, 2021.