1. Home
  2. Directory
  3. Washington
  4. Walla Walla
  5. Family Medicine
  6. NPI Profile

SAMUEL KIRTLEY MD
NPI 1124016548
Family Medicine in Walla Walla, WA

Active since October 10, 2005
55 W TIETAN ST, WALLA WALLA, WA 99362(509) 525-3720(509) 522-1592 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Kirtley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL KIRTLEY MD (NPI 1124016548) is an individual family medicine provider in Walla Walla, Washington, licensed in Washington (MD00045745) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1124016548
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMUEL KIRTLEYCredential: MD
Location Address55 W TIETAN STWalla Walla, WA 99362-4445
Mailing Address55 W Tietan StWalla Walla, WA 99362-4445 · (509) 525-3720 · Fax (509) 522-1592
Phone(509) 525-3720
Fax(509) 522-1592
Sole ProprietorNo
Enumeration DateOctober 10, 2005
Last NPPES UpdateNovember 28, 2007
✔ NPI 1124016548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00045745
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
55 W TIETAN ST, Walla Walla, WA 99362
Open in Google Maps ↗

Other Identifiers 5

Medicaid244092OR
Medicaid8494080WA
Medicare UPINB29205WA
Medicare PING8867027WA
Other0223882WA · L&i

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN JON MOLANDER M.D.
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
STACEY RENEE HAVEMAN PHYSICIAN ASSISTANT
Physician Assistant (Medical)
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
JUSTIN OLSWANGER DO
Family Medicine (Adult Medicine)
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
DR. JOHN ERIC MOORE D.O.
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
TIMOTHY ISAMU O'CONNOR M.D.
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
REBEKAH DICKMAN M.D.
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
DIANA FITZGERALD AU.D.
Audiologist
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
GUNNAR LEIGHTON JAMES SJOREN DPT
Physical Therapist
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Kirtley's NPI number?

The NPI number for Samuel Kirtley is 1124016548. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Samuel Kirtley located?

Samuel Kirtley practices at 55 W Tietan St, Walla Walla, WA 99362. The listed phone number is (509) 525-3720.

What is Samuel Kirtley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Samuel Kirtley was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.