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MISS KIMBERLY MICHELLE WALLER LPN
NPI 1407298698
Licensed Practical Nurse in Chicago, IL

Active since July 29, 2013
4707 N MALDEN ST, APT 303, CHICAGO, IL 60640(312) 975-3312 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Kimberly Michelle Waller Lpn NPPES

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

MISS KIMBERLY MICHELLE WALLER LPN (NPI 1407298698) is an individual licensed practical nurse in Chicago, Illinois, licensed in Illinois (043120655) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1407298698
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS KIMBERLY MICHELLE WALLERCredential: LPN
Location Address4707 N MALDEN ST, APT 303Chicago, IL 60640-6917
Mailing Address4707 N Malden St, Apt 303Chicago, IL 60640-6917 · (312) 975-3312
Phone(312) 975-3312
Sole ProprietorYes
Enumeration DateJuly 29, 2013
Last NPPES UpdateJuly 21, 2016
✔ NPI 1407298698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses✔ Licensed in IL · 043120655✔ Licensed in OH · 128873
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4707 N MALDEN ST, Chicago, IL 60640
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Other Names 1

Professional Name (2)Miss Kimberly Michelle Waller Lpn

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 1407298698. It was assigned to this individual provider in the NPPES registry on July 29, 2013. The provider is also known as Miss Kimberly Michelle Waller Lpn.

Where is Kimberly Waller located?

Kimberly Waller practices at 4707 N Malden St Apt 303, Chicago, IL 60640. The listed phone number is (312) 975-3312.

What is Kimberly Waller's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Waller was last updated on July 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.