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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEVIN JOHN WALTERS, LPN

Active Sole Proprietor

MR. KEVIN JOHN WALTERS, LPN is a Licensed Practical Nurse healthcare provider located in GRANDVILLE, Michigan. NPI 1124650262 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · GRANDVILLE, MI

Registration Details

NPI Number
1124650262
Provider Type
Individual
Gender
Male
NPI Issued
Feb 6, 2020 (6.5069910109073 yrs)
Last Updated
Feb 6, 2020
Licenses
1649257734 (MI)
4703079623 (MI)
Sole Proprietor
Yes

Practice Information

Address
3097 PRAIRIE ST SW
GRANDVILLE, MI, 494182000
Browse MI providers · Browse ZIP 49418
Phone
6165319973
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Licensed Practical Nurse

Other Licensed Practical Nurse Providers in GRANDVILLE, MI

Name Credential NPI
LISA HAMILTON 1376994830
SARAH MEYERDIRK 1073029724
ANDREA LEIGH SIMON 1902361728
SUSAN RUTH BRANON LPN 1245861699
ESMERALDA MCLENITHAN 1174155048
KRISTEN GRAY 1891327433
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.