MRS. Kimberly Wallace, RN
NPI #1104534395 in Huntsville, Alabama
Provider Information
- NPI Number
- 1104534395
- Entity Type
- Individual
- Name
- MRS. Kimberly Wallace, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - General Practice
- Credential
- RN
- Enumeration Date
- Nov 7, 2022
- Last Updated
- Nov 7, 2022
Practice Location
- Address
- 204 LOWE AVE SE STE 2
- City
- Huntsville
- State
- Alabama
- ZIP Code
- 35801-4242
- Phone
- (256) 534-7235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - General Practice — General Practice |
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