Individual provider · Type 1 NPI
Dakota James Wallace
Student in an Organized Health Care Education/Training Program · Columbia, KY
NPI number
1467333500
Active
Practice location
194 Poplar Ct
Columbia, KY 42728-8460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1467333500
Dakota James Wallace's National Provider Identifier is 1467333500, issued on Sep 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia, KY. The record was last updated on Sep 8, 2025.