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MR. KEVIN JOHN WALTERS LPN
NPI 1124650262
Licensed Practical Nurse in Grandville, MI

Active since February 06, 2020
3097 PRAIRIE ST SW, GRANDVILLE, MI 49418(616) 531-9973 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin John Walters Lpn NPPES

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

MR. KEVIN JOHN WALTERS LPN (NPI 1124650262) is an individual licensed practical nurse in Grandville, Michigan, licensed in Michigan (4703079623) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1124650262
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. KEVIN JOHN WALTERSCredential: LPN
Location Address3097 PRAIRIE ST SWGrandville, MI 49418-2000
Mailing Address3097 Prairie St SwGrandville, MI 49418-2000 · (616) 531-9973
Phone(616) 531-9973
Sole ProprietorYes
Enumeration DateFebruary 6, 2020
✔ NPI 1124650262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703079623
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedHome HealthTaxonomy 251E00000X · License 1649257734 (MI)
3097 PRAIRIE ST SW, Grandville, MI 49418
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Other Providers at the Same Location NPPES 20

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

ESMERALDA MCLENITHAN
Licensed Practical Nurse
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Kent County (616) 531-9973
KELLY RAYE SALIK
Registered Nurse
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Kent County (616) 531-9973
MRS. LAURIE ANN MACBRIDE RN
Registered Nurse
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Kent County (616) 531-9973
MRS. ROXANNE ZUIDEMA REGISTERED NURSE
Registered Nurse (Home Health)
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Kent County (616) 531-9973
KIMBERLY FLEMING RN
Registered Nurse
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Kent County (616) 531-9973
MS. MARY KATHERINE WARWICK RN
Registered Nurse (Home Health)
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Kent County (616) 531-9973
SUSAN RUTH BRANON LPN
Licensed Practical Nurse
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Kent County (616) 531-9973
SYILVIA MUPEPI
Registered Nurse
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Kent County (616) 531-9973

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 Kevin Walters's NPI number?

The NPI number for Kevin Walters is 1124650262. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Where is Kevin Walters located?

Kevin Walters practices at 3097 Prairie St SW, Grandville, MI 49418. The listed phone number is (616) 531-9973.

What is Kevin Walters's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kevin Walters was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.