WALLACE KIM

COLORADO SPRINGS, CO
NPI1487459079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
Enumeration Date2025-02-17
Last Update Date2025-02-17
Business Address
WALLACE KIM
3275 E PLATTE AVE STE D2
COLORADO SPRINGS, CO 80909-6444
Phone number: 719-694-8855
Mailing Address
WALLACE KIM
3275 E PLATTE AVE STE D2
COLORADO SPRINGS, CO 80909-6444
Phone number: 719-694-8855