Individual
KATHRYN MAE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-0001
(302) 733-1042
(302) 733-1068
Mailing address
4516 NIGHT HERON LN, CHARLOTTE, NC 28211-2681
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2012-01303
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
DE
Other
Enumeration date
05/12/2009
Last updated
10/01/2012
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