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Mrs. Kelly Kristen Walter, BS
Rehabilitation Practitioner in Lancaster, California
NPI 1770831844

Kelly Kristen Walter is a Rehabilitation Practitioner based in Lancaster, CA. Kelly Kristen Walter practices in Lancaster, CA and has the professional credentials of BS. The NPI Number for Kelly Kristen Walter is 1770831844 and holds a License No. (California).

The current practice location address for Kelly Kristen Walter is 43520 Division St, Lancaster, CA and can be reached out via phone at 661-266-4783.

Location: 43520 Division St, Lancaster, CA, 93535-4089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770831844
Provider Name
Kelly Kristen Walter
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
43520 Division St, Lancaster, CA, 93535-4089
Phone Number
661-266-4783
Fax Number
Provider Enumeration Date
08/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
#95-2633765 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
43520 Division St
City
Lancaster
State
California
Zip
93535-4089
Phone Number
661-266-4783
Fax Number
person
Provider Business Mailing Address Details
Address
43520 Division St
City
Lancaster
State
California
Zip
93535-4089
Phone Number
661-266-4783
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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