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

Miss. Kimberly Michelle Waller, LPN

Individual provider Licensed Practical Nurse · NPI 1407298698

Miss. Kimberly Michelle Waller, LPN is a Licensed Practical Nurse in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois and Ohio.

Licensed in
IL, OH
In the registry since
2013
Specialties on file
2
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

4707 N Malden St Apt 303
Chicago, IL 60640-6917
Phone: (312) 975-3312
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 043120655 (IL)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 128873 (OH)

Record details

NPI number1407298698
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedJuly 29, 2013
Last updated in NPPESJuly 21, 2016

Other providers in Chicago