MISS KIMBERLY LOUISE WALLACE RN
NPI 1043713936
Registered Nurse in San Antonio, TX

Q: What is Kimberly Wallace's NPI number?

The NPI number for Kimberly Wallace is 1043713936. It was assigned to this individual provider in the NPPES registry on March 16, 2018.

Q: What is Kimberly Wallace's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Wallace was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 16, 2018

2040 BABCOCK RD STE 304, SAN ANTONIO, TX 78229(210) 731-9570(210) 731-9575 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Kimberly Louise Wallace Rn NPPES

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

MISS KIMBERLY LOUISE WALLACE RN (NPI 1043713936) is an individual registered nurse in San Antonio, Texas, licensed in Texas (256026) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1043713936

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMISS KIMBERLY LOUISE WALLACECredential: RN

Location Address2040 BABCOCK RD STE 304San Antonio, TX 78229-4428

Mailing Address2040 Babcock Rd Ste 304San Antonio, TX 78229-4428 · (210) 731-9570 · Fax (210) 731-9575

Phone(210) 731-9570

Fax(210) 731-9575

Sole ProprietorYes

Enumeration DateMarch 16, 2018

✔ NPI 1043713936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in TX · 256026

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2040 BABCOCK RD STE 304, San Antonio, TX 78229

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINETTE NDANSAK

Licensed Vocational Nurse