| Kimmerley Wallace, | |
|
5722 Highway 6, Hitchcock, TX 77563-2306 | |
| (832) 469-1082 | |
| Not Available |
| Full Name | Kimmerley Wallace |
|---|---|
| Gender | Female |
| Speciality | Licensed Vocational Nurse |
| Location | 5722 Highway 6, Hitchcock, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639738883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 348779 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kimmerley Wallace, 5722 Highway 6, Hitchcock, TX 77563-2306 Ph: (832) 469-1082 | Kimmerley Wallace, 5722 Highway 6, Hitchcock, TX 77563-2306 Ph: (832) 469-1082 |
Janice Stephens, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 7330 N Redfish St, Hitchcock, TX 77563 Phone: 281-395-1927 Fax: 713-640-0039 | |
Sydney Leigh Schmitz, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 606 Warsaw St, Hitchcock, TX 77563 Phone: 832-866-4936 |