Individual provider · Type 1 NPI

Kevin John Walters, LPN

Licensed Practical Nurse · Grandville, MI

NPI number 1124650262 Active

Practice location

3097 Prairie St SW
Grandville, MI 49418-2000

Call (616) 531-9973 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000X1649257734 (MI)
Licensed Practical Nurse Primary 164W00000X4703079623 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1124650262

Kevin John Walters, LPN's National Provider Identifier is 1124650262, issued on Feb 6, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grandville, MI. The record was last updated on Feb 6, 2020.