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KYLE EDWIN WALLACE
NPI 1619781408
Adult Companion in Blair, NE

Active since February 03, 2025
1927 LINCOLN ST, BLAIR, NE 68008(531) 209-6113 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2025, Feb 3, 2025 (2 updates tracked since 2025).

About Kyle Edwin Wallace NPPES

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

KYLE EDWIN WALLACE (NPI 1619781408) is an individual adult companion provider in Blair, Nebraska and active in the NPI registry since February 2025. He maintains a secondary practice location in La Vista.

NPPES Registry Identity

NPI1619781408
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameKYLE EDWIN WALLACE
Location Address1927 LINCOLN STBlair, NE 68008-1934
Mailing Address1927 Lincoln StBlair, NE 68008-1934 · (531) 209-6113
Phone(531) 209-6113
Sole ProprietorYes
Enumeration DateFebruary 3, 2025
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1619781408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
1927 LINCOLN ST, Blair, NE 68008
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Secondary Practice Location 1

Location 110737 Brentwood Dr Apt 2BLA Vista, NE 68128-4737 · Phone (531) 209-6113

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 Kyle Wallace's NPI number?

The NPI number for Kyle Wallace is 1619781408. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Kyle Wallace located?

Kyle Wallace practices at 1927 Lincoln St, Blair, NE 68008. The listed phone number is (531) 209-6113.

What is Kyle Wallace's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Kyle Wallace was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.