Individual
MR. KENNETH JAMES WALTERS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 KILDAIRE WOODS DR, CARY, NC 27511-5500
(919) 481-9919
(919) 481-3362
Mailing address
1205 BUCKINGHAM RD, GARNER, NC 27529-4520
(919) 771-1089
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3323
NC
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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