Waller, Kimberly Michelle

Waller, Kimberly Michelle is an sole proprietor health care provider with primary practice located at 4707 N Malden St Apt 303, Chicago IL 60640-6917. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Waller, Kimberly Michelle can be contacted via phone (312) 975-3312.

Contact Information

Primary practice address
4707 N Malden St Apt 303 Chicago IL 60640-6917
Phone: (312) 975-3312
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043120655 Illinois
Nursing Service Providers / Licensed Practical Nurse 164W00000X 128873 Ohio

Profile Details

NPI number 1407298698
LBN Legal business name Waller, Kimberly Michelle
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2013
Last updated Jul 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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