Individual
DR. KENNETH T WALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1097 S LEJEUNE RD, CORAL GABLES, FL 33134
(305) 442-2020
Mailing address
1097 S LEJEUNE RD, CORAL GABLES, FL 33134
(305) 442-2020
(786) 369-4588
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME98284
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME98284
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000171300
—
FL
Enumeration date
06/05/2006
Last updated
06/27/2024
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