Walton, Mark Stephen
Walton, Mark Stephen is an individual health care provider with primary practice located at 5370 College Blvd Suite 100, Overland Park KS 66211-1891. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Walton, Mark Stephen can be contacted via phone (913) 599-4800.Contact Information
Primary practice address
5370 College Blvd Suite 100
Overland Park KS 66211-1891
Phone: (913) 599-4800
Fax: (913) 599-2992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | MD105370 | Missouri |
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 04-24974 | Kansas |
Profile Details
| NPI number | 1073667275 |
|---|---|
| LBN Legal business name | Walton, Mark Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Sep 2nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073667275 | NPPES |
| Kansas | MEDICAID | 100161420A | |
| Kansas | Other | 1008080 | |
| Kansas | Other | 21144013 | |
| Kansas | Other | 101450 |
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