Individual
BENJAMIN KENNETH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
KEESLER MEDICAL CENTER, 301 FISHER ST, KEESLER AIR FORCE BASE, MS 39534
(228) 376-0418
(228) 376-4041
Mailing address
SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-M, OTOLARYNGOLOGY RESIDENCY, 3551 ROGER BROOKE DR, JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 292-5077
(210) 292-7868
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01083351A
IN
207Y00000X
Otolaryngology Physician
Primary
31534
MS
208D00000X
General Practice Physician
01083351A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2018
Last updated
04/19/2026
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