Individual
KATHERINE ANNE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
504 E BROADWAY STE A, ASHLAND, MO 65010-9538
(573) 657-7330
(573) 657-1772
Mailing address
504 E BROADWAY STE A, ASHLAND, MO 65010-9538
(573) 657-7330
(573) 657-1772
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
11101
MO
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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