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

Miss. Kimberly Louise Wallace, RN

Individual provider Registered Nurse · NPI 1043713936

Miss. Kimberly Louise Wallace, RN is a Registered Nurse in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
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

2040 Babcock Rd Ste 304
San Antonio, TX 78229-4428
Phone: (210) 731-9570
Fax: (210) 731-9575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 256026 (TX)

Record details

NPI number1043713936
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedMarch 16, 2018
Last updated in NPPESMarch 16, 2018

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