Individual
DR. KAITLYN HEIDEL WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3904 BECK RD, STE. 110, SAINT JOSEPH, MO 64506-4952
(816) 279-2299
(816) 233-4725
Mailing address
3904 BECK RD, STE. 110, SAINT JOSEPH, MO 64506-4952
(816) 279-2299
(816) 233-4725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2013019323
MO
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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