Individual provider · Type 1 NPI

Kimberly Ann Wallace, NP-C

Family Nurse Practitioner · Morgantown, WV

NPI number 1457697435 Active

Practice location

1 Medical Center Drive
Morgantown, WV 26506

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	74136 (WV)

Family Nurse Practitioner: Definition to come...

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About NPI 1457697435

Kimberly Ann Wallace, NP-C's National Provider Identifier is 1457697435, issued on Dec 20, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Morgantown, WV. The record was last updated on Dec 20, 2012.