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Kimberly Wallace, LPN
NPI 1750785622 · Licensed Practical Nurse · Wampsville, NY
Kimberly Wallace, LPN is a Licensed Practical Nurse provider in Wampsville, NY (NPI 1750785622).
Provider details
- NPI number
- 1750785622
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 290441 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
138 North Court Street
Wampsville, NY 13163
Phone: (315) 366-2490
Street-level locationGet directions
Mailing address
2401 Clark Rd
Canastota, NY 13032-4759
Registry dates
- Enumerated
- 2014-10-21
- Last updated
- 2014-10-21
Frequently asked questions
- What is Kimberly Wallace's NPI number?
- Kimberly Wallace's National Provider Identifier (NPI) is 1750785622, 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 Licensed Practical Nurse (Nursing Service Providers).
- Where is Kimberly Wallace located?
- Kimberly Wallace's practice location on file with NPPES is 138 North Court Street, Wampsville, NY 13163.
- What is Kimberly Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Wallace is (315) 366-2490.
- Is Kimberly Wallace's NPI active?
- Yes — Kimberly Wallace's NPI (1750785622) is active in the NPPES registry as of the last update on 2014-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.