Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kyle Wilson Wallace, RN

Registered Nurse in Maumee, OH · enumerated 2020.

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

National Provider Identifier

1124641394

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Registry record

Entity type Individual (Type 1)

Name Kyle Wilson Wallace

Credential RN

Sex Male

Practice address 1715 Indian Wood Cir Ste 200, Maumee, OH, 43537

Phone (937) 303-2710

Enumeration date May 22, 2020

Last updated in NPPES May 22, 2020

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License RN.423738 (OH) Primary

RN · Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential

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

How do I verify Kyle Wallace's NPI record?

Cross-check NPI 1124641394 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1124641394 active?

Yes, as of the latest NPPES snapshot, NPI 1124641394 is active (record last updated 2020-05-22).

Other providers at this practice address

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Leslie Witherell Clinical Social Worker · Maumee, OH NPI 1013967702 Geriatric Psychiatric Services Pllc Adult Development & Aging Psychologist · Maumee, OH NPI 1467492173 Tiffany Brown Family Nurse Practitioner · Maumee, OH NPI 1518240571 Diana Orns-Grant Clinical Social Worker · Maumee, OH NPI 1346677838 Renee Atkins Family Medicine Physician · Maumee, OH NPI 1881057727 Robyn Torof General Practice Physician · Maumee, OH NPI 1346604667 Lionrock Behavioral Health, Inc. Community/Behavioral Health Agency · Maumee, OH NPI 1104271196 Michelle Fuhr Psychiatric/Mental Health Nurse Practitioner · Maumee, OH NPI 1114452042

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-05-22.