NPI
Kimberly Veronica Wallace
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- CNM APRN
- Type
- Individual
- Enumeration date
- 2019-06-25
- Last updated
- 2022-01-12
Specialties
Licenses
- License OH
- APRN.CNM.019392
Location
- Practice location
- 100 Lillian Gish Blvd Sw Ste 201
- City
- Massillon OH
- Postal code
- 44647-6500
- Phone
- (330) 809-0460
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Massillon, OH. 1,251 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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