Individual provider · Type 1 NPI

Katelin Marie Wallace

Homemaker · South Bloomfield, OH

NPI number 1740040435 Active

About NPI 1740040435

Katelin Marie Wallace's National Provider Identifier is 1740040435, issued on Mar 20, 2024. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in South Bloomfield, OH. The record was last updated on Aug 25, 2026.