Individual
KENNETH CHET WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 E GREENVILLE ST STE 1100, ANDERSON, SC 29621-1714
(864) 512-5667
(864) 512-6746
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-5667
(864) 512-6746
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
34958
SC
390200000X
Student in an Organized Health Care Education/Training Program
11014996A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003166327A
—
GA
05
—
349581
—
SC
Enumeration date
06/16/2009
Last updated
01/05/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us