Individual provider · Type 1 NPI

Kinyatta Walls

Other Specialist/Technologist · Dearborn, MI

NPI number 1376949024 Active

Practice location

3101 S Gulley Rd, Ste F
Dearborn, MI 48124-4406

Call (734) 407-2500 Map

Mailing address

136 William St
Springfield, MA 01105-2324

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

36 other providers at this address

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About NPI 1376949024

Kinyatta Walls's National Provider Identifier is 1376949024, issued on Nov 7, 2014. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Dearborn, MI. The record was last updated on Nov 7, 2014.