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

Kimberly Wallace

Individual provider Registered Nurse · NPI 1265969133

Kimberly Wallace is a Registered Nurse in Bronx, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

3400 Bainbridge Ave
Bronx, NY 10467-2404
Phone: (917) 450-5763
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 731730-1 (NY)

Record details

NPI number1265969133
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2017
Last updated in NPPESMay 22, 2017
Mailing address4330 Ely Ave, Bronx, NY 10466-1816

Other providers in Bronx