Individual provider · Type 1 NPI

Olivia Grace Wallen

Student in an Organized Health Care Education/Training Program · Kansas City, MO

NPI number 1649083783 Active

Practice location

2301 Holmes St
Kansas City, MO 64108-2640

Mailing address

925 E 1279 Rd
Lawrence, KS 66047-9612

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 1649083783

Olivia Grace Wallen's National Provider Identifier is 1649083783, issued on Jan 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kansas City, MO. The record was last updated on Jan 31, 2025.