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Individual
KIMBERLEY B WALTERS
Active
Individual
KIMBERLEY B WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
96882
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05/25/1970
DATE OF BIRTH
—
05
—
1520893
—
TN
Enumeration date
04/28/2006
Last updated
05/11/2026
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