MR. KEITH P WALTERS
NPI 1114481868
Prevention Professional in Holland, MI

Active since January 28, 2019
370 COUNTRY CLUB RD STE A, HOLLAND, MI 49423(616) 836-2896 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Keith P Walters NPPES

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

MR. KEITH P WALTERS (NPI 1114481868) is an individual prevention professional provider in Holland, Michigan, licensed in Michigan (N438257) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1114481868
Entity TypeIndividualMale
Primary Taxonomy405300000X
Provider Legal NameMR. KEITH P WALTERS
Location Address370 COUNTRY CLUB RD STE AHolland, MI 49423-8303
Mailing Address370 Country Club Rd Ste AHolland, MI 49423-8303 · (616) 836-2896 · Fax (616) 393-2182
Sole ProprietorNo
Enumeration DateJanuary 28, 2019
NPI 1114481868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License Licensed in MI · N438257
Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

370 COUNTRY CLUB RD STE A, Holland, MI 49423

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health and Wellness Coach
370 COUNTRY CLUB RD STE A
HOLLAND, MI 49423
Peer Specialist
370 COUNTRY CLUB RD STE A
HOLLAND, MI 49423

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 Keith Walters's NPI number?

The NPI number for Keith Walters is 1114481868. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Keith Walters located?

Keith Walters practices at 370 Country Club Rd Ste A, Holland, MI 49423. The listed phone number is (616) 836-2896.

What is Keith Walters's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Keith Walters was last updated on January 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.