IndividualActive
Kimmy Wallace, LPN
NPI 1013148584 · Licensed Practical Nurse · Bremen, OH
Kimmy Wallace, LPN is a Licensed Practical Nurse provider in Bremen, OH (NPI 1013148584).
Provider details
- NPI number
- 1013148584
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- PN115800 (OH)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
735 Marietta Rd Se
Bremen, OH 43107-9785
Phone: (740) 503-5982
Street-level locationGet directions
Mailing address
735 Marietta Rd Se
Bremen, OH 43107-9785
Registry dates
- Enumerated
- 2009-08-02
- Last updated
- 2009-08-02
Frequently asked questions
- What is Kimmy Wallace's NPI number?
- Kimmy Wallace's National Provider Identifier (NPI) is 1013148584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimmy Wallace's specialty?
- Kimmy Wallace is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Kimmy Wallace located?
- Kimmy Wallace's practice location on file with NPPES is 735 Marietta Rd Se, Bremen, OH 43107-9785.
- What is Kimmy Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kimmy Wallace is (740) 503-5982.
- Is Kimmy Wallace's NPI active?
- Yes — Kimmy Wallace's NPI (1013148584) is active in the NPPES registry as of the last update on 2009-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.