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Individual
KENNETH BRIAN WALTON
Active
Individual
KENNETH BRIAN WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
065436
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
065436
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107922A
—
GA
01
—
014459259
AMERIGROUP
GA
01
—
52343669
BCBS
GA
01
—
626252
WELLCARE
GA
01
—
P01108293
RAILROAD MEDICARE
GA
Enumeration date
06/15/2006
Last updated
02/09/2026
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