Search › Ohio › 164W00000X
Kimmy Wallace, LPN
NPI 1013148584 · on the registry since 2009 · sole proprietor
Practice
- Address
- 735 Marietta Rd Se
Bremen, OH 43107 - Phone
- (740) 503-5982
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio