Walters, Kenneth L

Walters, Kenneth L is an individual health care provider with primary practice located at 660 Park St , Jacksonville FL 32204-2933. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Walters, Kenneth L can be contacted via phone (904) 899-6300.

Contact Information

Primary practice address
660 Park St Jacksonville FL 32204-2933
Phone: (904) 899-6300
Fax: (904) 899-6380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1174658595
LBN Legal business name Walters, Kenneth L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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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