Kevin D Walter in Milwaukee - Sports Medicine
Kevin D Walter - NPI 1316975089
Kevin D Walter is a Sports Medicine in Milwaukee, Wisconsin. Kevin D Walter practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kevin D Walter is 1316975089. The last update date is 2013-02-15.
Kevin D Walter's current location address is 3365 S 103rd St, Milwaukee, Wisconsin. You can contact this provider via phone number 4146047501 and fax number 4146047506. The mailing address for Kevin D Walter is 3365 S 103rd St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin D Walter |
|---|---|
| Address | 3365 S 103rd St, Milwaukee, Wisconsin |
| Phone Number | 4146047501 |
| Fax Number | 4146047506 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316975089 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2013-02-15 |
Provider Mailing Address Detail
| Address | 3365 S 103rd St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532274161 |
| Phone Number | 4146047501 |
| Fax Number | 4146047506 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2080S0010X |
| Licence No | 41518-020 |
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Definition: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experien |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1316975089 | WI | -- |
Post Comment/ Review Below
What is the Kevin D Walter's 1316975089?
The Kevin D Walter's NPI (National Provider Identifier) Number is 1316975089. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin D Walter?
The Kevin D Walter is situated at 3365 S 103Rd St, in the city of Milwaukee, state of WI, with the zip code 532274161.
What is Kevin D Walter's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin D Walter is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080S0010X.
When did the Kevin D Walter receive its 1316975089?
The Kevin D Walter was issued its 1316975089 on 2006-06-29, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kevin D Walter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin D Walter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-15.