Individual
DR. KYLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3617
(859) 572-2326
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
TP902
KY
Other
Enumeration date
04/15/2014
Last updated
07/18/2017
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