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

Dr. Kevin Wallace, ND

Individual provider Naturopath · NPI 1659760700

Dr. Kevin Wallace, ND is a Naturopath in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

205 Judith Ln
Modesto, CA 95350-4413
Phone: (209) 809-4251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence 707 (CA)

Record details

NPI number1659760700
Entity typeIndividual (Type 1)
GenderMale
Credentials ND
Sole proprietorYes
NPI enumeratedJanuary 13, 2015
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021
Mailing address2842 N Richey Blvd, Tucson, AZ 85716-2023

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