Individual provider · Type 1 NPI

Kimberly Michelle Waller, LPN

Licensed Practical Nurse · Chicago, IL

NPI number 1407298698 Active

Practice location

4707 N Malden St, Apt 303
Chicago, IL 60640-6917

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043120655 (IL)
Licensed Practical Nurse 164W00000X128873 (OH)

Licensed Practical Nurse: An individual 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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About NPI 1407298698

Kimberly Michelle Waller, LPN's National Provider Identifier is 1407298698, issued on Jul 29, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 21, 2016.