Wals, Kenneth T
Wals, Kenneth T is an sole proprietor health care provider with primary practice located at 1097 S Lejeune Rd , Coral Gables FL 33134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Wals, Kenneth T can be contacted via phone (305) 442-2020.Contact Information
Primary practice address
1097 S Lejeune Rd
Coral Gables FL 33134
Phone: (305) 442-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME98284 | Florida |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | ME98284 | Florida |
Profile Details
| NPI number | 1023057395 |
|---|---|
| LBN Legal business name | Wals, Kenneth T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jun 27th, 2024 - about 6 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023057395 | NPPES |
| Florida | MEDICAID | 000171300 |
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