Individual provider · Type 1 NPI
Kimmy Sue Wallace, LPN
Licensed Practical Nurse · Bremen, OH
NPI number
1013148584
Active
Practice location
735 Marietta Rd SE
Bremen, OH 43107-9785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | PN115800 (OH) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Other licensed practical nurse providers in Bremen
About NPI 1013148584
Kimmy Sue Wallace, LPN's National Provider Identifier is 1013148584, issued on Aug 2, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bremen, OH. The record was last updated on Aug 2, 2009.