IndividualActive
Dakota Wallace
NPI 1467333500 · Student in an Organized Health Care Education/Training Program · Columbia, KY
Provider details
- NPI number
- 1467333500
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
194 Poplar Ct
Columbia, KY 42728-8460
Phone: (812) 801-5784
Approximate (ZIP-level) locationGet directions
Mailing address
194 Poplar Ct
Columbia, KY 42728-8460
Registry dates
- Enumerated
- 2025-09-08
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.