Dr KIMBERLY L WALLER PA is a female medical professional, specializing in Physician Assistant. She graduated in 1997.
SISKIYOU COMMUNITY HEALTH CENTER, INC
25647 REDWOOD HWY
CAVE JUNCTION
OR
975239332
Tel: 5415924111
| Npi | 1093782914 |
| Pac Id | 0749175255 |
| Professional Enrollment Id | I20061101000505 |
| Last Name | WALLER |
| First Name | KIMBERLY |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SISKIYOU COMMUNITY HEALTH CENTER, INC |
| Group Practice Pac Id | 6305747288 |
| Number Of Group Practice Members | 21 |
| Line 1 Street Address | 25647 REDWOOD HWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CAVE JUNCTION |
| State | OR |
| Zip Code | 975239332 |
| Phone Number | 5415924111 |
| Hospital Affiliation Ccn 1 | 380002 |
| Hospital Affiliation Lbn 1 | ASANTE THREE RIVERS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 050417 |
| Hospital Affiliation Lbn 2 | SUTTER COAST HOSPITAL |
| Hospital Affiliation Ccn 3 | 381322 |
| Hospital Affiliation Lbn 3 | CURRY GENERAL HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.