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

Kecha Wallace, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1134688864

Kecha Wallace, REGISTEREDNURSE is a Registered Nurse in Sun Prairie, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019

Practice location Address checks out

885 Robin Dr
Sun Prairie, WI 53590-3319
Phone: (608) 234-0265
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 229385-30 (WI)

Record details

NPI number1134688864
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedMarch 12, 2019
Last updated in NPPESMarch 12, 2019

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