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KELLY JO WALLEN
NPI 1578225637
Licensed Practical Nurse in Springfield, OH

Active since October 06, 2021
287 E. LEFFEL LANE, SPRINGFIELD, OH 45505(937) 342-3041(937) 342-4497 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Jo Wallen NPPES

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

KELLY JO WALLEN (NPI 1578225637) is an individual licensed practical nurse in Springfield, Ohio, licensed in Ohio (LPN.155614.MEDS-IV) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1578225637
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY JO WALLEN
Location Address287 E. LEFFEL LANESpringfield, OH 45505
Mailing Address287 E. Leffel LaneSpringfield, OH 45505 · (937) 342-3041 · Fax (937) 342-4497
Phone(937) 342-3041
Fax(937) 342-4497
Sole ProprietorNo
Enumeration DateOctober 6, 2021
NPPES CertifiedSeptember 27, 2021
✔ NPI 1578225637 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 · LPN.155614.MEDS-IV
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.
287 E. LEFFEL LANE, Springfield, OH 45505
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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.

MELISSA GROW
Licensed Practical Nurse
287 E. LEFFEL LANE
SPRINGFIELD, OH 45505
Clark County (937) 360-1764
PINNACLE TREATMENT CENTERS OH-XVIII, LLC
Clinic/Center (Methadone)
287 E. LEFFEL LANE
SPRINGFIELD, OH 45505
Clark County (937) 688-1844
CHELSEA ISON
Case Manager/Care Coordinator
287 E. LEFFEL LANE
SPRINGFIELD, OH 45505
Clark County (937) 688-1844

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 Kelly Wallen's NPI number?

The NPI number for Kelly Wallen is 1578225637. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Kelly Wallen located?

Kelly Wallen practices at 287 E. Leffel Lane, Springfield, OH 45505. The listed phone number is (937) 342-3041.

What is Kelly Wallen'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 Kelly Wallen was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.