Individual
KIMBERLY WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16109 WENTWORTH WAY, ODESSA, FL 33556-5711
(727) 484-8489
Mailing address
16109 WENTWORTH WAY, ODESSA, FL 33556-5711
(727) 484-8489
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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