Individual
MRS. CHERYL DIANE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1125 N MAIN ST, HUTCHINSON, KS 67501-4405
(620) 662-3111
(620) 662-3122
Mailing address
4121 E ENGLISH ST, WICHITA, KS 67218-1317
(785) 443-2423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-02726
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557734
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100412740D
—
KS
Enumeration date
07/07/2005
Last updated
11/07/2019
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