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

Kyle Wilson Wallace, RN

Individual provider Registered Nurse · NPI 1124641394

Kyle Wilson Wallace, RN is a Registered Nurse in Maumee, Ohio. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1715 Indian Wood Cir Ste 200
Maumee, OH 43537-4055
Phone: (937) 303-2710
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN.423738 (OH)

Record details

NPI number1124641394
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020
Mailing address4737 Sadalia Rd, Toledo, OH 43623-2965

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