WALLACE KIM NPI 1487459079

NPI Information

  • NPI: 1487459079
  • Provider Name: WALLACE KIM
  • Classification: Specialist - 1744P3200X
  • Specialization: Prosthetics Case Management
  • Entity Type: Individual
  • Address: 3275 E PLATTE AVE STE D2
    COLORADO SPRINGS, CO
    ZIP 80909
  • Phone: (719) 694-8855

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NPI Details

Wallace Kim is a prosthetics case management specialist in Colorado Springs, CO. The provider is Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics. Wallace Kim NPI is 1487459079. 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:

3275 E PLATTE AVE STE D2
COLORADO SPRINGS, CO
ZIP 80909-444
Phone: (719) 694-8855

The enumeration date for this NPI number is 2/17/2025 and was last updated on 2/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11744P3200XSpecialistProsthetics Case ManagementYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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