Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLY L WALLER, PA-C
ActiveMRS. KIMBERLY L WALLER, PA-C is a Physician Assistant healthcare provider located in GRANTS PASS, Oregon. NPI 1093782914 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRANTS PASS, OR
Registration Details
- NPI Number
- 1093782914
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2006 (20.26690413187 yrs)
- Last Updated
- Oct 28, 2019
- Licenses
-
PA842 (NV)PA01142 (OR)
Practice Information
- Address
-
1701 NW HAWTHORNE AVEGRANTS PASS, OR, 975261051Browse OR providers · Browse ZIP 97526
- Phone
- 5414713455
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GRANTS PASS, OR
| Name | Credential | NPI |
|---|---|---|
| HENRY N READ | PA | 1225099815 |
| APRIL A THEISEN | PA-C | 1366469074 |
| MS. NANCY JEANNE CLARK | PAC | 1891714960 |
| JOAN P DUNCAN | PA-C | 1407947732 |
| MR. JONATHAN EDWARD NORDHEIM | PAC | 1386762912 |
| RAGNA C. ROSTAD-RUFFNER | P.A. | 1124214382 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.