Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlynn Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790249100

Kaitlynn Wallace is a Student in an Organized Health Care Education/Training Program in Portales, New Mexico. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Portales, NM

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Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790249100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021

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