Kimberly Lane Wallace, NP-C
Kimberly Lane Wallace, NP-C is a Primary Care Nurse Practitioner in Beavercreek, Ohio. Licensed in Ohio. Registered with an NPI since 2022.
- Licensed in
- OH
- In the registry since
- 2022
What do these letters mean?
- NP-C — Nurse Practitioner, Certified
- A nurse practitioner certified by the AANP.
Practice location Address checks out
3535 Pentagon BlvdBeavercreek, OH 45431-1705
Phone: (937) 702-4000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence APRN.CNP.0032777 (OH) |
|---|
Record details
| NPI number | 1619688116 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP-C |
| Sole proprietor | No |
| NPI enumerated | December 6, 2022 |
| Last updated in NPPES | December 6, 2022 |
| Certification date | December 6, 2022 |
Other providers in Beavercreek
-
Krista Ducklo
1425 N Fairfield Rd Ste 110, Beavercreek, OH 45432-2674 · (937) 426-0106
-
Zachary James Hale, APRN, NP-C
68 Darst Rd, Beavercreek, OH 45440-3442 · (937) 458-4900
-
Brian Christopher Westcott, APRNCNP
3535 Pentagon Blvd, Beavercreek, OH 45431-1705 · (937) 702-4450