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Individual

KALLYOPI VAFIADIS WALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CPNP-AC

Contact information

Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-0000
Mailing address
4368 WESTDALE CT, FORT WORTH, TX 76109-4929
(817) 627-5524

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
864475
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1069774
TX

Other

Enumeration date
01/14/2022
Last updated
02/11/2022
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