Katelin Marie Wallace

Homemaker · South Bloomfield, OH

Individual Active NPI

NPI number 1740040435

Practice location

5408 Morning Glory St
South Bloomfield, OH 43103-3518
Phone
(434) 365-9020

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NPI record

NPI
1740040435
Entity type
Individual (Type 1)
Enumeration date
March 20, 2024
Last updated
August 25, 2026
Certified
August 25, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Homemaker Primary 376J00000X — OH

About Katelin Wallace

Katelin Marie Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Homemaker (code 376J00000X). The practice location is 5408 Morning Glory St, South Bloomfield, OH 43103-3518. The NPI number 1740040435 was assigned on March 20, 2024 and the record was last updated on August 25, 2026.

Frequently asked questions

What is the NPI number of Katelin Marie Wallace?

The NPI number is 1740040435.

What is the phone number of Katelin Wallace?

The phone number listed for the practice location is (434) 365-9020.

Where is Katelin Wallace located?

5408 Morning Glory St, South Bloomfield, OH 43103-3518.

What is the taxonomy code for Katelin Wallace?

The primary taxonomy code is 376J00000X – Homemaker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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