Wallace, Kimberly Veronica

Wallace, Kimberly Veronica is an individual health care provider with primary practice located at 100 Lillian Gish Blvd Sw Ste 201 , Massillon OH 44647-6500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wallace, Kimberly Veronica can be contacted via phone (330) 809-0460.

Contact Information

Primary practice address
100 Lillian Gish Blvd Sw Ste 201 Massillon OH 44647-6500
Phone: (330) 809-0460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN.CNM.019392 Ohio

Profile Details

NPI number 1144881640
LBN Legal business name Wallace, Kimberly Veronica
Credentials CNM APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2019
Last updated Jan 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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