DR. KEVIN WALLACE ND
NPI 1659760700
Naturopath in Modesto, CA

Active since January 13, 2015
205 JUDITH LN, MODESTO, CA 95350(209) 809-4251 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin Wallace Nd NPPES

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

DR. KEVIN WALLACE ND (NPI 1659760700) is an individual naturopath provider in Modesto, California, licensed in California (707) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1659760700
Entity TypeIndividualMale
Primary Taxonomy175F00000X
Provider Legal NameDR. KEVIN WALLACECredential: ND
Location Address205 JUDITH LNModesto, CA 95350-4413
Mailing Address2842 N Richey BlvdTucson, AZ 85716-2023 · (520) 396-4866
Sole ProprietorYes
Enumeration DateJanuary 13, 2015
Last NPPES UpdateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
NPI 1659760700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNaturopathOther Service Providers
Taxonomy Code175F00000X
License Licensed in CA · 707
Definition
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.
205 JUDITH LN, Modesto, CA 95350

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
205 JUDITH LN
MODESTO, CA 95350
Naturopath
205 JUDITH LN
MODESTO, CA 95350

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 Kevin Wallace's NPI number?

The NPI number for Kevin Wallace is 1659760700. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Where is Kevin Wallace located?

Kevin Wallace practices at 205 Judith Ln, Modesto, CA 95350. The listed phone number is (209) 809-4251.

What is Kevin Wallace's specialty?

The primary specialty registered for this NPI is Naturopath with taxonomy code 175F00000X.

When was this NPI record last updated?

The NPPES record for Kevin Wallace was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.