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

MS. Kimberlee Ann Wallace

Individual provider Peer Specialist · NPI 1417550435

MS. Kimberlee Ann Wallace is a Peer Specialist in El Cajon, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1664 Broadway
El Cajon, CA 92021-5201
Phone: (619) 579-8685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1417550435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 20, 2020
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address1776 Key Ln, El Cajon, CA 92021-1507

Other providers in El Cajon