KHALILAH WALLER
NPI 1992320246
Licensed Practical Nurse in Farmington Hills, MI

Active since June 12, 2020
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334(248) 299-0030 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About KHALILAH WALLER

This page provides the complete NPI Profile along with additional information for Khalilah Waller, a provider established in Farmington Hills, Michigan with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1992320246 assigned on June 2020. The practitioner's primary taxonomy code is 164W00000X with license number 4703123177 (MI). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1992320246 Verify this NPI
Provider Name
KHALILAH WALLER
Gender
Female
Entity Type
Individual
Location Address
27777 INKSTER RD STE 100 FARMINGTON HILLS, MI 48334
Location Phone
(248) 299-0030
Mailing Address
27777 INKSTER RD STE 100 FARMINGTON HILLS, MI 48334
Mailing Phone
(248) 299-0030
Is Sole Proprietor?
No
Enumeration Date
06-12-2020
Last Update Date
06-12-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
4703123177
License State
MI
Taxonomy Description
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.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Licensed Practical Nurse
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Analyst
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992320246, enumerated as an "individual" on June 12, 2020.

The provider is located at 27777 INKSTER RD STE 100 FARMINGTON HILLS, MI 48334 and the phone number is (248) 299-0030.

Licensed Practical Nurse with taxonomy code 164W00000X.