Individual
KIMBERLY PAIGE WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-6000
Mailing address
4501 NETTLE CREEK CT, PORT ORANGE, FL 32127-4909
(814) 316-6105
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
58528
FL
Other
Enumeration date
07/01/2024
Last updated
06/11/2025
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