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
Mailing address571 Blowing Rock Rd, Clintwood, VA 24228-6838