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

Kim A Maletta Shibley, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1184685042

Kim A Maletta Shibley, MD is an Obstetrics/Gynecology in Waconia, Minnesota. Qualified in 1988, 38 years ago. Practices with Ridgeview Medical Center, a 406-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
38
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

560 S Maple St Ste 130
Waconia, MN 55387-1753
Phone: (952) 442-2191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 37029 (MN)

Record details

NPI number1184685042
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESSeptember 15, 2022
Certification dateJune 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Ridgeview Medical Center — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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