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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ms. Kimberly Wallace, LRN

Registered Nurse in Kennett, MO · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114249117

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Registry record

Entity type Individual (Type 1)
Name Ms. Kimberly Wallace
Credential LRN
Sex Female
Practice address 925 Highway V V, Kennett, MO, 63857
Fax (573) 888-9365
Enumeration date Feb 18, 2010
Last updated in NPPES Feb 18, 2010

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License 2007032845 (MO) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kimberly Wallace practice?
The practice location on file with NPPES is in Kennett, MO. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kimberly Wallace?
The National Provider Identifier (NPI) for Kimberly Wallace is 1114249117, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-02-18.