IndividualActive
Julie Wallace
NPI 1215829528 · Military Health Care Provider · Kansas City, MO
Provider details
- NPI number
- 1215829528
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
319 E 125th Ter
Kansas City, MO 64145-1659
Phone: (816) 797-9810
Approximate (ZIP-level) locationGet directions
Mailing address
501 E 108th Ter
Kansas City, MO 64131-4019
Registry dates
- Enumerated
- 2025-07-21
- Last updated
- 2025-07-21
- Certified
- 2025-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.