Individual provider · Type 1 NPI

Kyle Russell Wall, RN

Registered Nurse · Minneapolis, MN

NPI number 1013519867 Active

Practice location

701 Park Ave
Minneapolis, MN 55415-1623

Fax (612) 630-8270

Mailing address

8050 Lakebridge Ln
Victoria, MN 55386-3200

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2188577 (MN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1013519867

Kyle Russell Wall, RN's National Provider Identifier is 1013519867, issued on Nov 16, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 16, 2020.