Kelly J Wallin is a student in an organized health care education training program in Sacramento, CA with 14 years of experience. The provider is 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. Kelly J Wallin NPI is 1447575709. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2025 MORSE AVE
SACRAMENTO, CA
ZIP 95825-115
Phone: (916) 973-6961
The NPI 1447575709 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 3/30/2010 and was last updated on 12/15/2021.