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

KIMBERLY WALLACE, LPN

Active

KIMBERLY WALLACE, LPN is a Licensed Practical Nurse healthcare provider located in WAMPSVILLE, New York. NPI 1750785622 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · WAMPSVILLE, NY

Registration Details

NPI Number
1750785622
Provider Type
Individual
Gender
Female
NPI Issued
Oct 21, 2014 (11.63327890518 yrs)
Last Updated
Oct 21, 2014
License
290441 (NY)

Practice Information

Address
138 NORTH COURT STREET
WAMPSVILLE, NY, 13163
Browse NY providers · Browse ZIP 13163
Phone
3153662490
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in WAMPSVILLE, NY

Name Credential NPI
MS. DENICE ANN TOWNSEND LPN 1033518444
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.