Individual
KIMBERLEY DAWN WALTERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
49 N BUNCOMBE SCHOOL RD, WEAVERVILLE, NC 28787-9608
(828) 645-0061
(828) 645-0602
Mailing address
PO BOX 564, WEAVERVILLE, NC 28787-0564
(828) 645-0061
(828) 645-0602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1726
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09003
BCBS OF NC
NC
05
—
7909003
—
NC
Enumeration date
06/13/2005
Last updated
07/08/2007
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