Individual
KEVIN LARON WALTON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 CHURCH ST, SUITE 205, NORFOLK, VA 23510-1712
(757) 309-4688
(757) 309-4689
Mailing address
645 CHURCH ST, SUITE 205, NORFOLK, VA 23510-1712
(757) 309-4688
(757) 309-4689
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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