Kali Wallace, DC

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

2020012757 Issued in MO

Practice address

618 SW 3Rd St Ste H
Lees Summit, MO 64063-2277

Phone

(816) 287-4044

NPI assigned

May 12, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1902428071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 GATEWAY DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640573328",
            "telephone_number": "432-559-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 SW 3RD ST STE H",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632277",
            "telephone_number": "816-287-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "KALI",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "MO",
            "license": "2020012757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Brent Walker, RN
• Jessica Winberry Walker, PT, DPT
• Joan Roulston Walker, DDS
• Marc A. Walker, LCSW
• Teresa Beth Walker, MD
• Amy Astel Waller, APRN-BC
• Kelvin L Walls, M.D.
• Sara Layne Walls, D.D.S
• Patricia Lynn Walsh, RN, ACNS-BC
• Rachel A Walter, NP-C

• Independent Medical Examiner Chiropractor in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Independent Medical Examiner Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.