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Kimberly Wallace, LPN
Licensed Practical Nurse in Wampsville, New York
NPI 1750785622

Kimberly Wallace is a Licensed Practical Nurse based in Canastota, NY. Kimberly Wallace practices in Wampsville, NY and has the professional credentials of LPN. The NPI Number for Kimberly Wallace is 1750785622 and holds a License No. 290441 (New York).

The current practice location address for Kimberly Wallace is 138 North Court Street, Wampsville, NY and can be reached out via phone at 315-366-2490.

Location: 138 North Court Street, Wampsville, NY, 13032-4759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750785622
Provider Name
Kimberly Wallace
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
138 North Court Street, Wampsville, NY, 13032-4759
Phone Number
315-366-2490
Fax Number
Provider Enumeration Date
10/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
138 North Court Street
City
Wampsville
State
New York
Zip
13163
Phone Number
315-366-2490
Fax Number
person
Provider Business Mailing Address Details
Address
138 North Court Street
City
Wampsville
State
New York
Zip
13163
Phone Number
315-366-2490
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
290441 (New York)
Definition
An individual 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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