KIMMERLEY WALLACE
NPI 1639738883
Licensed Vocational Nurse in Hitchcock, TX

Active since June 11, 2019
5722 HIGHWAY 6, HITCHCOCK, TX 77563(832) 469-1082 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimmerley Wallace NPPES

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

KIMMERLEY WALLACE (NPI 1639738883) is an individual licensed vocational nurse in Hitchcock, Texas, licensed in Texas (348779) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1639738883
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKIMMERLEY WALLACE
Location Address5722 HIGHWAY 6Hitchcock, TX 77563-2306
Mailing Address5722 Highway 6Hitchcock, TX 77563-2306 · (832) 469-1082
Sole ProprietorNo
Enumeration DateJune 11, 2019
NPI 1639738883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in TX · 348779
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
5722 HIGHWAY 6, Hitchcock, TX 77563

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 Kimmerley Wallace's NPI number?

The NPI number for Kimmerley Wallace is 1639738883. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Kimmerley Wallace located?

Kimmerley Wallace practices at 5722 Highway 6, Hitchcock, TX 77563. The listed phone number is (832) 469-1082.

What is Kimmerley Wallace's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kimmerley Wallace was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.