Individual
KIMOY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 CARAMBOLA CIR S, COCONUT CREEK, FL 33066-2912
(954) 298-9659
Mailing address
4612 CARAMBOLA CIR S, COCONUT CREEK, FL 33066-2912
(954) 298-9659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9352340
FL
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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