National Provider Identifier
Kimberly Wallace, RN
Kimberly Wallace, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Cheektowaga, NY and a listed phone number of (716) 390-2656.
Profile Overview
- NPI
- 1669794137
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- February 24, 2010
- Last Updated
- September 09, 2013
Practice Location
- 214 Rosewood Ter
- Cheektowaga, NY 14225-3016
Phone: (716) 390-2656
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1669794137
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Kimberly
- Credential
- RN
- Mailing Street Address
- 214 Rosewood Ter
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-3016
- Mailing Country
- US
- Mailing Phone
- (716) 390-2656
- Practice Street Address
- 214 Rosewood Ter
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-3016
- Practice Country
- US
- Practice Phone
- (716) 390-2656
- Enumeration Date
- February 24, 2010
- Last Updated
- September 09, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)