Kala Denise Wallace

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001247510 Issued in VA

Practice address

571 Blowing Rock Rd
Clintwood, VA 24228-6838

Phone

(276) 865-2009

NPI assigned

Dec 22, 2025

Last updated

Dec 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1699630749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 BLOWING ROCK RD",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242286838",
            "telephone_number": "276-865-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 BLOWING ROCK RD",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242286838",
            "telephone_number": "276-865-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "KALA",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001247510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Vanover
• Kelli Viers, RN
• Virginia Department of Health (Dickenson County Health Department)
• Walgreen Co (Walgreens #17334)
• Walid Saado MD PC
• West End Pharmacy
• Leann Marie Yates, PHARM D.

• Registered Nurse in Clintwood, VA
• Providers in Clintwood, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.