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Individual
KEVIN L WALTERS
Active
Individual
KEVIN L WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37842
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106020
MEDICA #
MN
01
—
0106027
MEDICA #
MN
01
—
0106028
MEDICA #
MN
01
—
13136
NDBS #
MN
01
—
142299
UCARE #
MN
01
—
21526
SIOUX VALLEY #
MN
01
—
768832
AMERICA'S PPO/ARAZ #
MN
05
—
890222400
—
MN
01
—
DA9041015691
PREFERRED ONE #
MN
01
—
HP19560
HEALTHPARTNERS #
MN
01
—
MN100008
LHS/BANNERHEALTH #
MN
Enumeration date
06/09/2006
Last updated
07/22/2015
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