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Kynyahta L Walters, APRN,FNP-C
Family Nurse Practitioner in Homewood, Illinois
NPI 1255810966

Kynyahta L Walters is a Family Nurse Practitioner based in Homewood, IL and is specialized in Family. Kynyahta L Walters practices in Homewood, IL and has the professional credentials of APRN,FNP-C. The NPI Number for Kynyahta L Walters is 1255810966 and holds a License No. 209.017912 (Illinois).

The current practice location address for Kynyahta L Walters is 17901 Governors Hwy Ste 204, Homewood, IL and can be reached out via phone at 789-960-4280.

Location: 17901 Governors Hwy Ste 204, Homewood, IL, 60430-1146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255810966
Provider Name
Kynyahta L Walters
Credential
APRN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
17901 Governors Hwy Ste 204, Homewood, IL, 60430-1146
Phone Number
789-960-4280
Fax Number
Provider Enumeration Date
08/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17901 Governors Hwy Ste 204
City
Homewood
State
Illinois
Zip
60430-1146
Phone Number
789-960-4280
Fax Number
person
Provider Business Mailing Address Details
Address
17901 Governors Hwy Ste 204
City
Homewood
State
Illinois
Zip
60430-1146
Phone Number
789-960-4280
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.017912 (Illinois)
Definition
Definition to come...
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