Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE EDWIN WALLACE
Active Sole ProprietorKYLE EDWIN WALLACE is a Adult Companion healthcare provider located in BLAIR, Nebraska. NPI 1619781408 is currently active in the NPPES registry. Verify at CMS.
Adult Companion · BLAIR, NE
Registration Details
- NPI Number
- 1619781408
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2025 (1.5470212848673 yrs)
- Last Updated
- Feb 13, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1927 LINCOLN STBLAIR, NE, 680081934Browse NE providers · Browse ZIP 68008
- Phone
- 5312096113
- Primary Specialty
-
Adult Companion
372600000X
Other Adult Companion Providers in BLAIR, NE
| Name | Credential | NPI |
|---|---|---|
| CHERI HAGEMAN | — | 1760291116 |
| KATRINA LUCAS | — | 1124830302 |
| ANDREA FRITZ | — | 1982416053 |
| JOYCE SMITH | — | 1154134989 |
| COLLEEN PUFFER | — | 1174336788 |
| MIRANDA LARSEN | — | 1750194387 |
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.