Walter, Kathleen

Walter, Kathleen is an individual health care provider with primary practice located at 253 Sagamore Hills Dr , Port Jefferson Station NY 11776-3553. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Walter, Kathleen can be contacted via phone (631) 828-8602.

Contact Information

Primary practice address
253 Sagamore Hills Dr Port Jefferson Station NY 11776-3553
Phone: (631) 828-8602
Fax: (631) 473-5688
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 224703 New York

Profile Details

NPI number 1043574908
LBN Legal business name Walter, Kathleen
Credentials MSED
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Jun 26th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers