| Mrs Kimmy Sue Wallace, LPN | |
|
735 Marietta Rd Se, Bremen, OH 43107-9785 | |
| (740) 503-5982 | |
| Not Available |
| Full Name | Mrs Kimmy Sue Wallace |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 735 Marietta Rd Se, Bremen, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013148584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN115800 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimmy Sue Wallace, LPN 735 Marietta Rd Se, Bremen, OH 43107-9785 Ph: (740) 503-5982 | Mrs Kimmy Sue Wallace, LPN 735 Marietta Rd Se, Bremen, OH 43107-9785 Ph: (740) 503-5982 |
Mrs. Leah Marlene Bell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11639 Heyd Road Se, Bremen, OH 43107 Phone: 740-569-4943 Fax: 740-569-4943 | |
Karelle Yerian, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11020 Webb Summit Rd Se, Bremen, OH 43107 Phone: 740-569-4856 | |
Ms. Lisa Danelle Sells, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 335 Bartlett St, Bremen, OH 43107 Phone: 740-503-3414 | |
Mrs. Tara Suzanne Bobo, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 301 Mulberry St, Bremen, OH 43107 Phone: 740-503-7603 |