Walters, Carolyn S

Walters, Carolyn S is an sole proprietor health care provider with primary practice located at 300 Preston Dr , Kingwood WV 26537-1551. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Walters, Carolyn S can be contacted via phone (304) 624-6554.

Contact Information

Primary practice address
300 Preston Dr Kingwood WV 26537-1551
Fax: (304) 624-5223
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 32999 West Virginia

Profile Details

NPI number 1194996462
LBN Legal business name Walters, Carolyn S
Credentials BSN,RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2008
Last updated Mar 14th, 2008 - about 16 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 1194996462 NPPES
West Virginia MEDICAID 3810004148

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