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

Kyle Edwin Wallace

Individual provider Adult Companion · NPI 1619781408

Kyle Edwin Wallace is an Adult Companion in Blair, Nebraska. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Blair, NE

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Additional practice locations (1)

  • 10737 Brentwood Dr Apt 2b, La Vista, NE 68128-4737 — (531) 209-6113

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X

Record details

NPI number1619781408
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 3, 2025
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

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