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

KIMMERLEY WALLACE

Active

KIMMERLEY WALLACE is a Licensed Vocational Nurse healthcare provider located in HITCHCOCK, Texas. NPI 1639738883 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · HITCHCOCK, TX

Registration Details

NPI Number
1639738883
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2019 (7.171611042566 yrs)
Last Updated
Jun 11, 2019
License
348779 (TX)

Practice Information

Address
5722 HIGHWAY 6
HITCHCOCK, TX, 775632306
Browse TX providers · Browse ZIP 77563
Phone
8324691082
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in HITCHCOCK, TX

Name Credential NPI
JANICE STEPHENS LVN 1710156567
SYDNEY LEIGH SCHMITZ 1730682956
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.