Individual provider · Type 1 NPI

Kaitlyn Wallace

Student in an Organized Health Care Education/Training Program · Des Moines, IA

NPI number 1922985373 Active

Practice location

2507 University Ave
Des Moines, IA 50311-4505

Call (515) 271-2011 Map

Mailing address

2301 SW Oralabor Rd Trlr 79
Ankeny, IA 50023-9813

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 1922985373

Kaitlyn Wallace's National Provider Identifier is 1922985373, issued on Aug 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Des Moines, IA. The record was last updated on Aug 18, 2025.