Kenneth Brian Walton in Statesboro - Surgery
Kenneth Brian Walton - NPI 1699719179
Kenneth Brian Walton is a Surgery in Statesboro, Georgia. Kenneth Brian Walton practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kenneth Brian Walton is 1699719179. The last update date is 2020-09-17.
Kenneth Brian Walton's current location address is 1058 Bermuda Run Road, Statesboro, Georgia. You can contact this provider via phone number 9128717100 and fax number 9128717110. The mailing address for Kenneth Brian Walton is 1058 Bermuda Run Road, Statesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Brian Walton |
|---|---|
| Address | 1058 Bermuda Run Road, Statesboro, Georgia |
| Phone Number | 9128717100 |
| Fax Number | 9128717110 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699719179 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2020-09-17 |
Provider Mailing Address Detail
| Address | 1058 Bermuda Run Road |
|---|---|
| City | Statesboro |
| State | Georgia (GA) |
| Post Code | 304580858 |
| Phone Number | 9128717100 |
| Fax Number | 9128717110 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 65436 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01108293 | GA | RAILROAD MEDICARE | |
| 52343669 | GA | BCBS | |
| 626252 | GA | WELLCARE | |
| 003107922A | GA | -- | |
| 14459259 | GA | AMERIGROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Brian Walton by the Centers for Medicare & Medicaid Services?
The Kenneth Brian Walton has been assigned the NPI (National Provider Identifier) 1699719179. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kenneth Brian Walton's facilities are situated?
The facilities of Kenneth Brian Walton are physically located at the following address: 1058 Bermuda Run Road, Statesboro, GA, 304580858.
What is the Kenneth Brian Walton's specialty and taxonomy code?
The Kenneth Brian Walton's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
When was the Kenneth Brian Walton's 1699719179 issued?
The Kenneth Brian Walton's 1699719179 was issued on 2006-06-15.
When was the information regarding Kenneth Brian Walton most recently updated?
The details pertaining to the Kenneth Brian Walton, including its address, specialty, and other relevant information, were last refreshed on 2020-09-17.