Waller, Kaci

Waller, Kaci is an individual health care provider with primary practice located at 2637 Arbor Glen Pl , Marietta GA 30066-4274. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Waller, Kaci can be contacted via phone (229) 589-7427.

Contact Information

Primary practice address
2637 Arbor Glen Pl Marietta GA 30066-4274
Phone: (229) 589-7427
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X

Profile Details

NPI number 1972219442
LBN Legal business name Waller, Kaci
Credentials C-AA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2023
Last updated Jan 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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