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MRS. KIMBERLY WALLACE RN
NPI 1104534395
Registered Nurse - General Practice in Huntsville, AL

Active since November 07, 2022
204 LOWE AVE SE STE 2, HUNTSVILLE, AL 35801(256) 534-7235 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Kimberly Wallace Rn NPPES

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

MRS. KIMBERLY WALLACE RN (NPI 1104534395) is an individual general practice provider in Huntsville, Alabama, licensed in Alabama (1-069756) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1104534395
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameMRS. KIMBERLY WALLACECredential: RN
Location Address204 LOWE AVE SE STE 2Huntsville, AL 35801-4242
Mailing Address3118 Mallard Point Dr SeOwens Cross Roads, AL 35763-8497 · (256) 679-3281
Phone(256) 534-7235
Sole ProprietorNo
Enumeration DateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
✔ NPI 1104534395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in AL · 1-069756
204 LOWE AVE SE STE 2, Huntsville, AL 35801
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Other Providers at the Same Location NPPES 3

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

MRS. CARISSA NIEMANN C.R.N.P.
Nurse Practitioner (Family)
204 LOWE AVE SE STE 2
HUNTSVILLE, AL 35801
Madison County (256) 517-8861
A STAPEL IN WELLNESS
Dietitian, Registered
204 LOWE AVE SE STE 2
HUNTSVILLE, AL 35801
Madison County (256) 701-4694
SARAH STAPELMANN
Dietitian, Registered
204 LOWE AVE SE STE 2
HUNTSVILLE, AL 35801
Madison County (256) 701-4694

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 Kimberly Wallace's NPI number?

The NPI number for Kimberly Wallace is 1104534395. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Where is Kimberly Wallace located?

Kimberly Wallace practices at 204 Lowe Ave SE Ste 2, Huntsville, AL 35801. The listed phone number is (256) 534-7235.

What is Kimberly Wallace's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Kimberly Wallace was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.