Kilar Wallace
Kilar Wallace is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
34800 Bob Wilson DrSan Diego, CA 92134-1098
Phone: (570) 665-1814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1508658139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 20, 2025 |
| Last updated in NPPES | May 20, 2025 |
| Certification date | May 20, 2025 |
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