KYLE WILSON WALLACE RN
NPI 1124641394
Registered Nurse in Maumee, OH

Q: What is Kyle Wallace's NPI number?

The NPI number for Kyle Wallace is 1124641394. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Q: What is Kyle 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 Kyle Wallace was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 22, 2020

1715 INDIAN WOOD CIR STE 200, MAUMEE, OH 43537(937) 303-2710 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kyle Wilson Wallace Rn NPPES

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

KYLE WILSON WALLACE RN (NPI 1124641394) is an individual registered nurse in Maumee, Ohio, licensed in Ohio (RN.423738) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1124641394

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameKYLE WILSON WALLACECredential: RN

Location Address1715 INDIAN WOOD CIR STE 200Maumee, OH 43537-4055

Mailing Address4737 Sadalia RdToledo, OH 43623-2965 · (734) 731-7476

Phone(937) 303-2710

Sole ProprietorNo

Enumeration DateMay 22, 2020

NPPES CertifiedMay 22, 2020

✔ NPI 1124641394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in OH · RN.423738

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.

1715 INDIAN WOOD CIR STE 200, Maumee, OH 43537

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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.

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