Walter, Kirby

Walter, Kirby is an sole proprietor health care provider with primary practice located at 3817 N Central Park Ave , Chicago IL 60618-4102. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Walter, Kirby can be contacted via phone (312) 502-3345.

Contact Information

Primary practice address
3817 N Central Park Ave Chicago IL 60618-4102
Phone: (312) 502-3345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86017636 Illinois

Profile Details

NPI number 1780142489
LBN Legal business name Walter, Kirby
Credentials RD, CLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2019
Last updated Jun 11th, 2019 - about 6 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 1780142489 NPPES
Illinois Other 86017636 REGISTERED DIETITIAN LICENSE

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