Walter, Kevin D

Walter, Kevin D is an individual health care provider with primary practice located at 3365 S 103Rd St Greenway Medical Center, Milwaukee WI 53227-4161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Walter, Kevin D can be contacted via phone (414) 604-7501.

Contact Information

Primary practice address
3365 S 103Rd St Greenway Medical Center Milwaukee WI 53227-4161
Phone: (414) 604-7501
Fax: (414) 604-7506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41518-020 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 41518-020 Wisconsin

Profile Details

NPI number 1316975089
LBN Legal business name Walter, Kevin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 15th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316975089 NPPES
Wisconsin MEDICAID 1316975089

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