MRS. Kimmy Sue Wallace, LPN
NPI #1013148584 in Bremen, Ohio
Provider Information
- NPI Number
- 1013148584
- Entity Type
- Individual
- Name
- MRS. Kimmy Sue Wallace, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Aug 2, 2009
- Last Updated
- Aug 2, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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