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

Samuel Kirtley, MD

Individual provider Family Medicine Physician · NPI 1124016548

Samuel Kirtley, MD is a Family Medicine Physician in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 W Tietan St
Walla Walla, WA 99362-4445
Phone: (509) 525-3720
Fax: (509) 522-1592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00045745 (WA)

Record details

NPI number1124016548
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 10, 2005
Last updated in NPPESNovember 28, 2007

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