IndividualActive
Kimberly Wallace, LRN
NPI 1114249117 · Registered Nurse · Kennett, MO
Kimberly Wallace, LRN is a Registered Nurse provider in Kennett, MO (NPI 1114249117).
Provider details
- NPI number
- 1114249117
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- LRN
- Sex
- Female
- Sole proprietor
- No
- License
- 2007032845 (MO)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
925 Highway V V
Kennett, MO 63857
Phone: (573) 888-5925
Fax: (573) 888-9365
Street-level locationGet directions
Mailing address
500 US Highway 61 North
Hayti, MO 63851
Registry dates
- Enumerated
- 2010-02-18
- Last updated
- 2010-02-18
Frequently asked questions
- What is Kimberly Wallace's NPI number?
- Kimberly Wallace's National Provider Identifier (NPI) is 1114249117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Wallace's specialty?
- Kimberly Wallace is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Kimberly Wallace located?
- Kimberly Wallace's practice location on file with NPPES is 925 Highway V V, Kennett, MO 63857.
- What is Kimberly Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Wallace is (573) 888-5925.
- Is Kimberly Wallace's NPI active?
- Yes — Kimberly Wallace's NPI (1114249117) is active in the NPPES registry as of the last update on 2010-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.