MRS. KIMMY SUE WALLACE LPN
NPI 1013148584
Licensed Practical Nurse in Bremen, OH

Q: What is Kimmy Wallace's NPI number?

The NPI number for Kimmy Wallace is 1013148584. It was assigned to this individual provider in the NPPES registry on August 2, 2009.

Q: What is Kimmy Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimmy Wallace was last updated on August 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2009

735 MARIETTA RD SE, BREMEN, OH 43107(740) 503-5982 Get Directions Write a Review

NPPES record last updated: August 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kimmy Sue Wallace Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMMY SUE WALLACE LPN (NPI 1013148584) is an individual licensed practical nurse in Bremen, Ohio, licensed in Ohio (PN115800) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1013148584

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. KIMMY SUE WALLACECredential: LPN

Location Address735 MARIETTA RD SEBremen, OH 43107-9785

Mailing Address735 Marietta Rd SeBremen, OH 43107-9785 · (740) 503-5982

Phone(740) 503-5982

Sole ProprietorYes

Enumeration DateAugust 2, 2009

✔ NPI 1013148584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · PN115800

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

735 MARIETTA RD SE, Bremen, OH 43107

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimmy Wallace's NPI number?

The NPI number for Kimmy Wallace is 1013148584. It was assigned to this individual provider in the NPPES registry on August 2, 2009.

Where is Kimmy Wallace located?

Kimmy Wallace practices at 735 Marietta Rd SE, Bremen, OH 43107. The listed phone number is (740) 503-5982.

What is Kimmy Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimmy Wallace was last updated on August 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.