# DR. WALTER F KERWIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457397556
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | G75336 | CA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 66875 | AZ | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | MD199312 | OR | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | MD2018-0760 | NM | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | TP335 | KY | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 02/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1457397556 | — | WI |
| 05 | — | 500717106 | — | OR |