MRS. Kimberly Veronica Wallace, CNM APRN

NPI #1144881640 in Massillon, Ohio

Provider Information

NPI Number: 1144881640
Entity Type: Individual
Name: MRS. Kimberly Veronica Wallace, CNM APRN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Advanced Practice Midwife
Credential: CNM APRN
Enumeration Date: Jun 25, 2019
Last Updated: Jan 12, 2022

Practice Location

Address: 100 LILLIAN GISH BLVD SW STE 201
City: Massillon
State: Ohio
ZIP Code: 44647-6500
Phone: (330) 809-0460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Advanced Practice Midwife	367A00000X	Primary

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