Walters, Kenneth Chet
Walters, Kenneth Chet is an sole proprietor health care provider with primary practice located at 2000 E Greenville St Ste 1100 , Anderson SC 29621-1714. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Walters, Kenneth Chet can be contacted via phone (864) 512-5667.Contact Information
Primary practice address
2000 E Greenville St Ste 1100
Anderson SC 29621-1714
Phone: (864) 512-5667
Fax: (864) 512-6746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 11014996A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 34958 | South Carolina |
Profile Details
| NPI number | 1366679458 |
|---|---|
| LBN Legal business name | Walters, Kenneth Chet |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2009 |
| Last updated | Jan 5th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366679458 | NPPES |
| Georgia | MEDICAID | 003166327A | |
| Georgia | MEDICAID | 349581 |
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