Individual
MRS. KATHLEEN B WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3636 N STOCKTON HILL RD, KINGMAN, AZ 86409-0514
(928) 757-3636
(928) 757-7224
Mailing address
3483 E CODY AVE, GILBERT, AZ 85234-2231
(480) 620-5821
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP10917
AZ
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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