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Search › California › Independent Duty Corpsman

Kilar Wallace

NPI 1508658139 · on the registry since 2025 · sole proprietor

Practice

Address
34800 Bob Wilson Dr
San Diego, CA 92134
Phone
(570) 665-1814
Organisation at this address
Usn
Nmcsd
Nmcsd
Nmcsd
Us Navy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,476

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2025-05-20
Status
Not present in the most recent federal file

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 California