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Active NPI 1659760700 Individual Practitioner Male Practitioner

Dr. Kevin Wallace , ND

Naturopath • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Wallace, ND is a registered healthcare professional specializing in Naturopath in Modesto, CA. Practice services are available at 205 JUDITH LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

205 Judith Ln

Modesto, CA 953504413

Telephone 2098094251

Specialty Benchmarks & Practice Insights

Comparative analytics for Naturopath in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Modesto, CA (974 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-23
Naturopath Primary Specialty

NUCC Taxonomy Code: 175F00000X

State License CA 707

Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1689017014

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 23, 2021

Registered at 205 JUDITH LN, MODESTO, CA 953504413 (Tel: 2098094251)

📍
Updated Business Mailing Address February 23, 2021

Registered at 2842 N RICHEY BLVD, TUCSON, AZ 857162023 (Tel: 5203964866)

NPI Profile Active January 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2015

Registered at 1700 N TULLY RD APT G221, TURLOCK, CA 953806879 (Tel: 2094997067)

📍
Updated Business Mailing Address January 13, 2015

Registered at 1700 N TULLY RD APT G221, TURLOCK, CA 953806879 (Tel: 2094997067)

👤
Provider Name / Credentials Updated January 13, 2015

Recorded as KEVIN WALLACE, ND

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2015

Naturopath (License #707 in CA)

🟢
Initial NPI Registration & Enumeration January 13, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659760700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2015
Last Update: February 23, 2021
Sole Proprietor: Yes

Mailing Address

2842 N Richey Blvd

Tucson, AZ 857162023

Phone: 5203964866

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.