NPI 1164122610
Kevin Walters
Practice location
- Address
- 777 Songtan Boulevard, Osan Air Base Unit 2060, Apo, AP 96278-2060
- Phone
- (505) 784-2108
- Mailing address
- Psc 3 Box 4756, Apo, AP 96266-0048
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1164122610
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Mar 2023
- Record last updated
- 3 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.