MS. KATHLEEN WALTER MSED
NPI 1043574908
Specialist in Port Jefferson Station, NY

Active since June 26, 2012
253 SAGAMORE HILLS DR, PORT JEFFERSON STATION, NY 11776(631) 828-8602(631) 473-5688 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kathleen Walter Msed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHLEEN WALTER MSED (NPI 1043574908) is an individual specialist in Port Jefferson Station, New York, licensed in New York (224703) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1043574908
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. KATHLEEN WALTERCredential: MSED
Location Address253 SAGAMORE HILLS DRPort Jefferson Station, NY 11776-3553
Mailing Address253 Sagamore Hills DrPort Jefferson Station, NY 11776-3553 · (631) 828-8602 · Fax (631) 473-5688
Fax(631) 473-5688
Sole ProprietorNo
Enumeration DateJune 26, 2012
NPI 1043574908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 224703
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
253 SAGAMORE HILLS DR, Port Jefferson Station, NY 11776

Other Names 1

Former Name (1)Mrs. Kathleen Nam Msed

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Walter's NPI number?

The NPI number for Kathleen Walter is 1043574908. It was assigned to this individual provider in the NPPES registry on June 26, 2012. The provider is also known as Mrs. Kathleen Nam Msed.

Where is Kathleen Walter located?

Kathleen Walter practices at 253 Sagamore Hills Dr, Port Jefferson Station, NY 11776. The listed phone number is (631) 828-8602.

What is Kathleen Walter's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kathleen Walter was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.