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

MS. Kimberly Wallace, LRN

Individual provider Registered Nurse · NPI 1114249117

MS. Kimberly Wallace, LRN is a Registered Nurse in Kennett, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010

Practice location Address checks out

925 Highway V V
Kennett, MO 63857
Phone: (573) 888-5925
Fax: (573) 888-9365
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2007032845 (MO)

Record details

NPI number1114249117
Entity typeIndividual (Type 1)
GenderFemale
Credentials LRN
Sole proprietorNo
NPI enumeratedFebruary 18, 2010
Last updated in NPPESFebruary 18, 2010

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