SAMUEL KIRTLEY (MD) – Family Medicine Physician, NPI 1124016548

SAMUEL KIRTLEY (MD) is a healthcare provider. based in Walla walla, Washington. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD00045745 (WA). The NPI Number for SAMUEL KIRTLEY (MD) is 1124016548

Main info

Male
Name
SAMUEL KIRTLEY (MD)
NPI
1124016548
Phone
(509) 525-3720
Address
55 W TIETAN ST
Enumeration Date
10 October 2005
Last Update Date
28 November 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SAMUEL KIRTLEY (MD)

  • 55, West Tietan Street, Walla Walla, Walla Walla County, Washington, 99362, United States

    WALLA WALLA, WA 993624445

    Phone: (509) 525-3720

    Fax: (509) 522-1592

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99362)

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Reviews

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Frequently asked questions

How do I look up SAMUEL KIRTLEY (MD) by NPI?
Use NPI 1124016548 when you need to reference SAMUEL KIRTLEY (MD) in forms, claims, or directories.
Is SAMUEL KIRTLEY (MD)'s NPI currently valid?
The extract we use shows SAMUEL KIRTLEY (MD) as active.
What field does SAMUEL KIRTLEY (MD) work in?
You can think of SAMUEL KIRTLEY (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place SAMUEL KIRTLEY (MD)?
The snapshot lists Walla Walla, Washington for SAMUEL KIRTLEY (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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