Individual
KATHRYN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20127 PINEVILLE RD, LONG BEACH, MS 39560-3218
(228) 333-0133
(228) 901-5939
Mailing address
20127 PINEVILLE RD, LONG BEACH, MS 39560-3218
(228) 333-0133
(228) 901-5939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
908653
MS
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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