Walter, Keith Andrew

Walter, Keith Andrew is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Walter, Keith Andrew can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Fax: (336) 716-7994
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9600766 North Carolina

Profile Details

NPI number 1518940220
LBN Legal business name Walter, Keith Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Aug 23rd, 2010 - about 14 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518940220 NPPES
Virginia MEDICAID 6304443
Virginia Other 8552T
Virginia Other 15401
Virginia Other 180044444
Virginia Other 5515617
Virginia Other 65769
Virginia MEDICAID 898552T
Virginia MEDICAID 3002831000

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