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KENNETH CHRISTIAN WALTERS MD NPI 1619005469


NPI Information

NPI: 1619005469
Provider Name: KENNETH CHRISTIAN WALTERS, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
1120 15TH ST
AUGUSTA, GA
ZIP 30912
Phone: (706) 721-3941
Get Directions

Kenneth Christian Walters, MD is a pediatric surgery surgery in Augusta, GA with 19 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Kenneth Christian Walters, MD NPI is 1619005469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2005

The provider's business location address is:

1120 15TH ST
AUGUSTA, GA
ZIP 30912-004
Phone: (706) 721-3941

The NPI 1619005469 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 3/2/2007 and was last updated on 9/14/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery069664GEORGIANo
22086S0120XSurgeryPediatric SurgeryE-7272ARKANSASNo
32086S0120XSurgeryPediatric Surgery069664GEORGIAYes
4208600000XSurgery128047NORTH CAROLINANo
5208600000XSurgeryE-7272ARKANSASNo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.