Provider Demographics
NPI:1700296902
Name:SILLER, KIMBERLY ANN (MSN, APRN, ACNS-BC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:ANN
Last Name:SILLER
Suffix:
Gender:F
Credentials:MSN, APRN, ACNS-BC
Other - Prefix:
Other - First Name:KIM
Other - Middle Name:A
Other - Last Name:ARTHUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, APRN, ACNS-BC
Mailing Address - Street 1:15405 REEDS ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-3609
Mailing Address - Country:US
Mailing Address - Phone:513-886-0697
Mailing Address - Fax:
Practice Address - Street 1:10730 NALL AVE STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1242
Practice Address - Country:US
Practice Address - Phone:513-584-8318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79098-11364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health