Kecha Wallace, REGISTERED NURSE
NPI #1134688864 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1134688864
- Entity Type
- Individual
- Name
- Kecha Wallace, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- REGISTERED NURSE
- Enumeration Date
- Mar 12, 2019
- Last Updated
- Mar 12, 2019
Practice Location
- Address
- 885 ROBIN DR
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-3319
- Phone
- (608) 234-0265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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