Individual provider · Type 1 NPI

Kaylin Walters, PA

Medical Physician Assistant · Grand Rapids, MI

NPI number 1164045142 Active

Practice location

655 Kenmoor Ave SE Ste 101
Grand Rapids, MI 49546-8622

Call (616) 900-9911 Map

Fax (616) 900-9862

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601010540 (MI)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1164045142

Kaylin Walters, PA's National Provider Identifier is 1164045142, issued on May 25, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 13, 2026.