KINYATTA WALLS NPI 1376949024

NPI Information

NPI: 1376949024
Provider Name: KINYATTA WALLS
Classification: Specialist/Technologist, Other - 246Z00000X
Entity Type: Individual
Address:
3101 S GULLEY RD
STE F
DEARBORN, MI
ZIP 48124
Phone: (734) 407-2500
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Kinyatta Walls is a specialist technologist other in Dearborn, MI. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. Kinyatta Walls NPI is 1376949024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3101 S GULLEY RD
STE F
DEARBORN, MI
ZIP 48124-406
Phone: (734) 407-2500

The enumeration date for this NPI number is 11/7/2014 and was last updated on 11/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246Z00000X	Specialist/Technologist, Other				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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