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Contact Information

KATHY L WALLACE, RNFA
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO63703-5049
 Phone: 573-331-5150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for KATHY L WALLACE · (Female)

NPI Number 1720294572
Status Active
Credentials RNFA
Entity Individual
Enumeration date 05/15/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 092317
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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