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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KIMMY SUE WALLACE, LPN

Active Sole Proprietor

MRS. KIMMY SUE WALLACE, LPN is a Licensed Practical Nurse healthcare provider located in BREMEN, Ohio. NPI 1013148584 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · BREMEN, OH

Registration Details

NPI Number
1013148584
Provider Type
Individual
Gender
Female
NPI Issued
Aug 2, 2009 (17.078905834142 yrs)
Last Updated
Aug 2, 2009
License
PN115800 (OH)
Sole Proprietor
Yes

Practice Information

Address
735 MARIETTA RD SE
BREMEN, OH, 431079785
Browse OH providers · Browse ZIP 43107
Phone
7405035982
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in BREMEN, OH

Name Credential NPI
KARELLE YERIAN 1407984784
MRS. LEAH MARLENE BELL LPN 1407078173
MS. LISA DANELLE SELLS L.P.N. 1720305212
MRS. TARA SUZANNE BOBO 1891183778
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.