Individual
KYNYAHTA L WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1401 N WESTERN AVE, CHICAGO, IL 60622-1735
(708) 292-7000
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(708) 292-7000
(708) 887-5874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277.004144
IL
Other
Enumeration date
08/13/2018
Last updated
11/18/2025
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