Individual provider · Type 1 NPI

Kayla Wallace

Student in an Organized Health Care Education/Training Program · Aurora, CO

NPI number 1598045932 Active

Practice location

11059 E Bethany Dr, Ste 200
Aurora, CO 80014-2622

Call (303) 617-2300 Map

Fax (303) 617-2397

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 1598045932

Kayla Wallace's National Provider Identifier is 1598045932, issued on Aug 17, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Aurora, CO. The record was last updated on Aug 17, 2011.