Kennedi Wallace
NPI 1063322642ActiveIndividual· Driver· Chicago Heights, IL
Driver in Chicago Heights, Illinois, with an NPI issued in September 2026.
Overview
| NPI | 1063322642 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 8, 2026 |
| Last updated in NPPES | Sep 8, 2026 |
| Certified by provider | Sep 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Driver Primary | 172A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Driver providers in Chicago Heights
- 1235875287
- 1598348369
- 1497131270