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

Kelly Jo Wallen

Individual provider Licensed Practical Nurse · NPI 1578225637

Kelly Jo Wallen is a Licensed Practical Nurse in Springfield, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

287 E Leffel Ln
Springfield, OH 45505
Phone: (937) 342-3041
Fax: (937) 342-4497
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN.155614.MEDS-IV (OH)

Record details

NPI number1578225637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2021
Last updated in NPPESOctober 6, 2021
Certification dateSeptember 27, 2021

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