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Mr. Kevin John Walters, LPN
Licensed Practical Nurse in Grandville, Michigan
NPI 1124650262

Kevin John Walters is a Licensed Practical Nurse based in Grandville, MI. Kevin John Walters practices in Grandville, MI and has the professional credentials of LPN. The NPI Number for Kevin John Walters is 1124650262 and holds a License No. 1649257734 (Michigan).

The current practice location address for Kevin John Walters is 3097 Prairie St Sw, Grandville, MI and can be reached out via phone at 616-531-9973.

Location: 3097 Prairie St Sw, Grandville, MI, 49418-2000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124650262
Provider Name
Kevin John Walters
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
3097 Prairie St Sw, Grandville, MI, 49418-2000
Phone Number
616-531-9973
Fax Number
Provider Enumeration Date
02/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3097 Prairie St Sw
City
Grandville
State
Michigan
Zip
49418-2000
Phone Number
616-531-9973
Fax Number
person
Provider Business Mailing Address Details
Address
3097 Prairie St Sw
City
Grandville
State
Michigan
Zip
49418-2000
Phone Number
616-531-9973
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703079623 (Michigan)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1649257734 (Michigan)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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