Individual
KEVIN PETER WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, LDN, CNSC
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
105 SUMMER ST APT 105, MALDEN, MA 02148-2539
(203) 804-4127
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86068323
—
Other
Enumeration date
11/14/2023
Last updated
03/16/2026
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