KELLY WALTERS NPI 1487460614

NPI Information

  • NPI: 1487460614
  • Provider Name: KELLY WALTERS
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1010 N PROSPECT ST
    BOWLING GREEN, OH
    ZIP 43402
  • Phone: (419) 352-5387

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NPI Details

Kelly Walters is a psychiatric/mental health nurse practitioner in Bowling Green, OH with 2 years of experience. Kelly Walters NPI is 1487460614. 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:

1010 N PROSPECT ST
BOWLING GREEN, OH
ZIP 43402-335
Phone: (419) 352-5387

The NPI 1487460614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/3/2024 and was last updated on 12/18/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN.CNP.0038300OHIOYes
2163W00000XRegistered NurseRN.417486OHIONo

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: 11/21/2025

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