Search › Indiana › 1041C0700X
Kati Wallace
NPI 1245072073 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3 W Boone St
Cloverdale, IN 46120 - Phone
- (812) 605-9748
Additional practice sites
- 1542 S Bloomington St, Greencastle, IN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana