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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386539120

Kennedy Fayrene Wallace is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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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.

Atlanta, GA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1386539120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2025
Last updated in NPPESJune 11, 2025
Certification dateJune 7, 2025

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