Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kennedi Wallace

Individual provider Driver · NPI 1063322642

Kennedi Wallace is a Driver in Chicago Heights, Illinois. Registered with an NPI since 2026.

In the registry since
2026
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Practice location Address checks out

90 E Joe Orr Rd
Chicago Heights, IL 60411-1374
Phone: (708) 981-9161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X

Record details

NPI number1063322642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 8, 2026
Last updated in NPPESSeptember 8, 2026
Certification dateSeptember 8, 2026

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