MR. KHALIL RASHAUN WALLACE
NPI 1528516580
Student in an Organized Health Care Education/Training Program in Fairchild Afb, WA

Q: What is Khalil Wallace's NPI number?

The NPI number for Khalil Wallace is 1528516580. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Q: What is Khalil Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Khalil Wallace was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 19, 2016

7275 NEBRASKA AVE, FAIRCHILD AFB, WA 99011(786) 512-1492 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Khalil Rashaun Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KHALIL RASHAUN WALLACE (NPI 1528516580) is an individual student in an organized health care education/training program in Fairchild Afb, Washington and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1528516580

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. KHALIL RASHAUN WALLACE

Location Address7275 NEBRASKA AVEFairchild Afb, WA 99011-3001

Mailing Address7275 Nebraska AveFairchild Afb, WA 99011-3001

Phone(786) 512-1492

Sole ProprietorYes

Enumeration DateSeptember 19, 2016

✔ NPI 1528516580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

7275 NEBRASKA AVE, Fairchild Afb, WA 99011

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khalil Wallace's NPI number?

The NPI number for Khalil Wallace is 1528516580. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Khalil Wallace located?

Khalil Wallace practices at 7275 Nebraska Ave, Fairchild Afb, WA 99011. The listed phone number is (786) 512-1492.

What is Khalil Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Khalil Wallace was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.