Individual
DR. KEVIN CRAIG WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 S EAGLE RD STE 2213, MERIDIAN, ID 83642-6354
(208) 706-5447
(208) 706-5448
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(503) 375-5738
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
MD25772
OR
2083X0100X
Occupational Medicine Physician
Primary
M-15633
ID
2083X0100X
Occupational Medicine Physician
MD25772
OR
Other
Enumeration date
01/31/2007
Last updated
02/24/2025
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