MRS. KELLY NICHOLE WALTER


Address: 1 Wildcat Dr, New London, OH 44851-9262
Phone: 4199291586

MRS. KELLY NICHOLE WALTER (NPI# 1194262535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194262535
Entity Type Individual
Full Name MRS. KELLY NICHOLE WALTER
Credential ED.S.
Practice Address 1 Wildcat Dr
New London
OH 44851-9262
Practice Telephone 4199291586
Mailing Telephone 4199291586
Enumeration Date 2017-01-24
Last Update Date 2017-01-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
OH3151583 OH Behavioral Health & Social Service Providers

Other Providers KELLY WALTER

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1316594492 Kelly Anne Walter Specialist 75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010 2019-08-22
1770831844 Kelly Kristen Walter Rehabilitation Practitioner 43520 Division St, Lancaster, CA 93535-4089 2012-08-21

Office Location

Street Address 1 WILDCAT DR
City NEW LONDON
State OH
Zip Code 44851-9262

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073759122 Vanessa Noel Winkler Speech-Language Pathologist 1 Wildcat Dr, New London, OH 44851-9262 2008-12-19
1194136879 Kimberly Go Counselor 1 Wildcat Dr, New London, OH 44851-9262 2014-05-15
1699191528 Kelly Schaller Speech-Language Pathologist 1 Wildcat Dr, New London, OH 44851-9262 2014-03-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568029510 Samaritan Regional Health System Clinic/Center 206 W Main St, New London, OH 44851 2019-05-24
1730567835 Barbara Ann Trimmer Licensed Practical Nurse 19 Johnson Dr, New London, OH 44851-1010 2015-05-11
1669449351 Jeffrey A Harwood Family Medicine 187 W Main St, New London, OH 44851-1018 2006-03-02
1356886618 Haley Robuck Nurse Practitioner 187 W Main St, New London, OH 44851-1018 2016-12-22
1053756734 The Laurels of New London, LLC Skilled Nursing Facility 201 W Main St, New London, OH 44851-1018 2013-05-08
1013969419 New London Family Practice,llc Family Medicine 187 W Main St, New London, OH 44851-1018 2006-05-16
1568864759 William Stewart Home Health Aide 142 Pearl St, New London, OH 44851-1023 2014-09-19
1619515277 Lifesource of North Carolina Psychologist 204 W Main St, New London, OH 44851-1070 2019-12-13
1215143417 Integrated Health Services of New London At Firelands Nursing Facility/Intermediate Care Facility 204 W Main St, New London, OH 44851-1070 2007-05-15
1457463556 204 W. Main Street Operating Company, LLC Skilled Nursing Facility 204 W Main St, New London, OH 44851-1070 2006-08-31
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083220982 Christopher Enz Psychologist 914 Mohawk Dr, Mc Dermott, OH 45652-9000 2020-09-17
1114532090 Elizabeth Ann Chech Psychologist 7915 Manhattan Ave, Parma, OH 44129-1840 2020-09-09
1275146029 Jennifer Lynn Eganhouse Psychologist 187 Wilson Dr, Worthington, OH 43085-4040 2020-08-30
1275145708 Sharla Nichols Fasko Psychologist 7238 Pilliod Rd, Holland, OH 43528-9572 2020-08-17
1740806801 Danita M Hamlin Psychologist 61 State, Gallipolis, OH 45631-1185 2020-06-24
1508481508 Sharmayne Sellers Psychologist 2654 E 130th St, Cleveland, OH 44120-1452 2020-06-15
1982226833 Karen Lynn Heichel Psychologist 1684 Medina Rd, Medina, OH 44256-9314 2020-05-14
1780205807 Kera L Donovan Psychologist 9 Cherry Dr Nw, North Canton, OH 44720-5302 2020-04-29
1750916425 Rachel Martin Psychologist 20800 Westgate Professional Center #200, Fairview Park, OH 44126 2020-03-03
1093356529 Stacie Baker Corder Psychologist 11701 W Lake Rd, Vermilion, OH 44089-3029 2019-10-06
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Competitor

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City NEW LONDON
Zip Code 44851

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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