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

Kimberly Wallace, LPN

Individual provider Licensed Practical Nurse · NPI 1750785622

Kimberly Wallace, LPN is a Licensed Practical Nurse in Wampsville, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

138 N Court St
Wampsville, NY 13163
Phone: (315) 366-2490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 290441 (NY)

Record details

NPI number1750785622
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedOctober 21, 2014
Last updated in NPPESOctober 21, 2014

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