Kimberly Wallace, LRN

Registered Nurse · Kennett, MO

Individual Active NPI

NPI number 1114249117

Practice location

925 Highway V V
Kennett, MO 63857
Phone
(573) 888-5925
Fax
(573) 888-9365

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NPI record

NPI
1114249117
Entity type
Individual (Type 1)
Enumeration date
February 18, 2010
Last updated
February 18, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 2007032845 MO

Mailing address

500 Us Highway 61 North
Hayti, MO 63851
Phone
(573) 359-2600
Fax
(573) 359-1103

About Kimberly Wallace

Kimberly Wallace, LRN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 925 Highway V V, Kennett, MO 63857. The NPI number 1114249117 was assigned on February 18, 2010 and the record was last updated on February 18, 2010.

Kimberly Wallace lists a license in the registry: #2007032845 (MO) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kimberly Wallace, LRN?

The NPI number is 1114249117.

What is the phone number of Kimberly Wallace?

The phone number listed for the practice location is (573) 888-5925.

Where is Kimberly Wallace located?

925 Highway V V, Kennett, MO 63857.

What is the taxonomy code for Kimberly Wallace?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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