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Kilar Wallace
NPI 1508658139 · Independent Duty Corpsman · San Diego, CA
Kilar Wallace is a Independent Duty Corpsman provider in San Diego, CA (NPI 1508658139).
Provider details
- NPI number
- 1508658139
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (570) 665-1814
Street-level locationGet directions
Mailing address
5550 Surf Rider Way Apt 133
San Diego, CA 92154-6528
Registry dates
- Enumerated
- 2025-05-20
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Frequently asked questions
- What is Kilar Wallace's NPI number?
- Kilar Wallace's National Provider Identifier (NPI) is 1508658139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kilar Wallace's specialty?
- Kilar Wallace is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Kilar Wallace located?
- Kilar Wallace's practice location on file with NPPES is 34800 Bob Wilson Dr, San Diego, CA 92134-1098.
- What is Kilar Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kilar Wallace is (570) 665-1814.
- Is Kilar Wallace's NPI active?
- Yes — Kilar Wallace's NPI (1508658139) is active in the NPPES registry as of the last update on 2025-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.