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

Dakota James Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467333500

Dakota James Wallace is a Student in an Organized Health Care Education/Training Program in Columbia, Kentucky. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

194 Poplar Ct
Columbia, KY 42728-8460
Phone: (812) 801-5784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1467333500
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address194 Poplar Ct, Columbia, KY 42728-8460

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