Individual provider · Type 1 NPI
Kala Denise Wallace
Registered Nurse · Clintwood, VA
Practice location
571 Blowing Rock Rd
Clintwood, VA 24228-6838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 0001247510 (VA) |
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…
About NPI 1699630749
Kala Denise Wallace's National Provider Identifier is 1699630749, issued on Dec 22, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Clintwood, VA. The record was last updated on Dec 22, 2025.