Walters, Kevin

Walters, Kevin is an sole proprietor health care provider with primary practice located at 777 Songtan Boulevard, Osan Air Base Unit 2060, Apo AP 96278-2060. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Walters, Kevin can be contacted via phone (505) 784-2108.

Contact Information

Primary practice address
777 Songtan Boulevard, Osan Air Base Unit 2060 Apo AP 96278-2060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1164122610
LBN Legal business name Walters, Kevin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2023
Last updated Mar 3rd, 2023 - about last year

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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