Kyle Wilson Wallace, RN

NPI #1124641394 in Maumee, Ohio

Provider Information

NPI Number
1124641394
Entity Type
Individual
Name
Kyle Wilson Wallace, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
May 22, 2020
Last Updated
May 22, 2020

Practice Location

Address
1715 INDIAN WOOD CIR STE 200
City
Maumee
State
Ohio
ZIP Code
43537-4055
Phone
(937) 303-2710

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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