Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kiesa Waller, OWNER

Individual provider Home Health Aide · NPI 1972450930

Kiesa Waller, OWNER is a Home Health Aide in Eastpointe, Michigan. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

15375 Juliana Ave
Eastpointe, MI 48021-3607
Phone: (586) 665-3055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1972450930
Entity typeIndividual (Type 1)
GenderFemale
Credentials OWNER
Sole proprietorNo
NPI enumeratedMarch 11, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 10, 2026
Mailing address15375 Juliana Ave, Eastpointe, MI 48021-3607

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