Kyle Wilson Wallace, RN

Registered Nurse · Maumee, OH

Individual Active NPI

NPI number 1124641394

Practice location

1715 Indian Wood Cir Ste 200
Maumee, OH 43537-4055
Phone
(937) 303-2710

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NPI record

NPI
1124641394
Entity type
Individual (Type 1)
Enumeration date
May 22, 2020
Last updated
May 22, 2020
Certified
May 22, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X RN.423738 OH

Mailing address

4737 Sadalia Rd
Toledo, OH 43623-2965
Phone
(734) 731-7476

About Kyle Wallace

Kyle Wilson Wallace, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055. The NPI number 1124641394 was assigned on May 22, 2020 and the record was last updated on May 22, 2020.

Kyle Wallace lists a license in the registry: #RN.423738 (OH) 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 Kyle Wilson Wallace, RN?

The NPI number is 1124641394.

What is the phone number of Kyle Wallace?

The phone number listed for the practice location is (937) 303-2710.

Where is Kyle Wallace located?

1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055.

What is the taxonomy code for Kyle 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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