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

MS. Kimberly Wallace, LRN

Individual provider Registered Nurse · NPI 1114249117

MS. Kimberly Wallace, LRN is a Registered Nurse in Kennett, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010

Practice location Address checks out

925 Highway V V
Kennett, MO 63857
Phone: (573) 888-5925
Fax: (573) 888-9365
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2007032845 (MO)

Record details

NPI number1114249117
Entity typeIndividual (Type 1)
GenderFemale
Credentials LRN
Sole proprietorNo
NPI enumeratedFebruary 18, 2010
Last updated in NPPESFebruary 18, 2010
Mailing address500 Us Highway 61 North, Hayti, MO 63851

Other providers in Kennett