Walters, Debra Kay

Walters, Debra Kay is an individual health care provider with primary practice located at 2709 N Tejon St , Colorado Springs CO 80907-6231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Walters, Debra Kay can be contacted via phone (719) 473-0872.

Contact Information

Primary practice address
2709 N Tejon St Colorado Springs CO 80907-6231
Fax: (719) 630-3658
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 82294 Colorado

Profile Details

NPI number 1548254105
LBN Legal business name Walters, Debra Kay
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Oct 23rd, 2007 - about 19 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 1548254105 NPPES
Colorado Other 82294 COLORADO LICENSE
Colorado Other C99908 COLORADO LICENSE

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