Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kala Denise Wallace

Individual provider Registered Nurse · NPI 1699630749

Kala Denise Wallace is a Registered Nurse in Clintwood, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

571 Blowing Rock Rd
Clintwood, VA 24228-6838
Phone: (276) 865-2009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 0001247510 (VA)

Record details

NPI number1699630749
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 22, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 21, 2025