Kimberly Wallace, LRN

NPI 1114249117 · on the registry since 2010

Practice

Address: 925 Highway V V
Kennett, MO 63857
Phone: (573) 888-5925
Fax: (573) 888-9365
Organisation at this address: Family Counseling Center
Family Counseling Center
Family Counseling Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: Registered Nurse
163W00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-02-18

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 Missouri