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KIMBERLY WALLER
NPI 1356922892
Technician - Personal Care Attendant in Princeton, WV

Active since April 16, 2021
712 MERCER ST STE D, PRINCETON, WV 24740(304) 431-2443 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Waller NPPES

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

KIMBERLY WALLER (NPI 1356922892) is an individual personal care attendant in Princeton, West Virginia and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1356922892
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKIMBERLY WALLER
Location Address712 MERCER ST STE DPrinceton, WV 24740-3114
Mailing Address1103south Ninth StPrinceton, WV 24740
Phone(304) 431-2443
Sole ProprietorNo
Enumeration DateApril 16, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1356922892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
712 MERCER ST STE D, Princeton, WV 24740
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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.

BRADLEY LEWIS
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
LASHANTA HALL
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
KAYLEIGH BELCHER
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
ASHLEY JUSTICE
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
INDIA SIMMONS
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
NATAJHA LEWIS
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
ALEXIS CLOWER
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
REGINA ROBERTSON
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443

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 Kimberly Waller's NPI number?

The NPI number for Kimberly Waller is 1356922892. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Kimberly Waller located?

Kimberly Waller practices at 712 Mercer St Ste D, Princeton, WV 24740. The listed phone number is (304) 431-2443.

What is Kimberly Waller's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kimberly Waller was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.