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Individual

KIMBERLY R WALTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
425 CHALAN SAN ANTONIO, #271, TAMUNING, GU 96913-3602
(671) 747-8569
(671) 646-8569
Mailing address
425 CHALAN SAN ANTONIO, #271, TAMUNING, GU 96913-3602
(671) 747-8569
(671) 646-8569

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
A80933
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A809330
CA
Enumeration date
02/13/2007
Last updated
03/17/2016
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