Kesha Renee Walton is a Family in Lawrence, New Jersey. Kesha Renee Walton practices all healthcare services and medical treatments related to Family. The NPI Number for Kesha Renee Walton is 1164541124. The last update date is 2022-01-20.
Kesha Renee Walton's current location address is 2500 Brunswick Ave Ste 205, Lawrence, New Jersey. You can contact this provider via phone number 7322905480 and fax number 7327163200. The mailing address for Kesha Renee Walton is 2500 Brunswick Ave Ste 205, Lawrence, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kesha Renee Walton |
|---|---|
| Address | 2500 Brunswick Ave Ste 205, Lawrence, New Jersey |
| Phone Number | 7322905480 |
| Fax Number | 7327163200 |
| Sole Proprietor | Y |
| Credentials | DNP, APN, |
NPI Number Detail
| NPI Number | 1164541124 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2022-01-20 |
Provider Mailing Address Detail
| Address | 2500 Brunswick Ave Ste 205 |
|---|---|
| City | Lawrence |
| State | New Jersey (NJ) |
| Post Code | 86484134 |
| Phone Number | 7322905480 |
| Fax Number | 7327163200 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 26NJ00470600 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identification code assigned to Kesha Renee Walton by the Centers for Medicare & Medicaid Services?
The Kesha Renee Walton has been issued the NPI (National Provider Identifier) 1164541124. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kesha Renee Walton?
The Kesha Renee Walton is situated at 2500 Brunswick Ave Ste 205, in the city of Lawrence, state of NJ, with the zip code 86484134.
What is the Kesha Renee Walton's specialty and taxonomy code?
The Kesha Renee Walton's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When was the Kesha Renee Walton's 1164541124 issued?
The Kesha Renee Walton's 1164541124 was issued on 2007-03-28.
When was the Kesha Renee Walton's information last updated?
The Kesha Renee Walton's information was last updated on 2022-01-20.