DR. KYLE WALTERS (NPI# 1386063444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386063444 |
| Entity Type | Individual |
| Full Name | DR. KYLE WALTERS |
| Credential | M.D. |
| Practice Address |
85 N Grand Ave Fort Thomas KY 41075-1793 |
| Mailing Address |
4755 Ogletown Stanton Rd Newark DE 19718-2200 |
| Practice Telephone | 8595723617 |
| Practice Fax Number | 8595722326 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2017-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | TP902 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124434105 | Kyle Walters | Registered Nurse | 135 Dodge St, Providence, RI 02907-2210 | 2014-07-10 |
| Street Address |
85 N GRAND AVE |
| City | FORT THOMAS |
| State | KY |
| Zip Code | 41075-1793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458745 | Kevin C Meyer | Emergency Medicine | 85 N Grand Ave, Fort Thomas, KY 41075 | 2005-06-22 |
| 1538760020 | Megan Sullivan | Registered Nurse | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2020-11-03 |
| 1407472699 | Rachael M Oakley | Physician Assistant | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2020-06-23 |
| 1720626856 | Natalya C Williams | Nurse Practitioner | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2019-12-19 |
| 1710537675 | Kaitlyn Gerrety | Physician Assistant | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2019-09-12 |
| 1578039632 | Samuel Quincy Gaines | Physician Assistant | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2018-10-16 |
| 1790209476 | Shelby Rene Mesch | Physician Assistant | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2017-08-03 |
| 1538681044 | Danielle Nichole Fryer | Registered Nurse | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2017-07-17 |
| 1427596675 | Donna Gentz | Physical Therapy Assistant | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2017-02-08 |
| 1063967495 | Cora E Mikesell | Physician Assistant | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2016-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630472 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 604 South Fort Thomas Avenue, Fort Thomas, KY 41075 | 2020-05-08 |
| 1245878149 | A & A Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 604 South Ft. Thomas, Ft. Thomas, KY 41075 | 2019-12-11 |
| 1588213383 | Connect Counselors | Social Worker | 1051 Alexandria Pike, Suite 104, Fort Thomas, KY 41075 | 2019-09-05 |
| 1629634407 | Kristen Lynn Salvato | Counselor | 18 North Fort Thomas Avenue, Suite 109, Fort Thomas, KY 41075 | 2019-05-16 |
| 1306364872 | Mary Frances Scott | Developmental Therapist | 26 Burney Ln, Ft Thomas, KY 41075 | 2017-09-06 |
| 1881123057 | Samuel Barth | Specialist/Technologist | 33 Bellaire Place, Fort Thomas, KY 41075 | 2017-06-09 |
| 1669918371 | Jenna Weyer | Specialist/Technologist | 46 Fischer Lane, Fort Thomas, KY 41075 | 2017-01-19 |
| 1457723033 | Lauren Bradbury | Registered Nurse | 1201 N. Ft. Thomas Ave., Ft. Thomas, KY 41075 | 2015-10-22 |
| 1053639237 | Kathy H Kugler | Psychologist | 1201 South Ft Thomas Ave, Ft Thomas, KY 41075 | 2010-05-12 |
| 1104059229 | Shanna L Murray | Psychologist | 1000 S. Ft. Thomas Ave, Fort Thomas, KY 41075 | 2009-08-24 |
| Find all providers in zip 41075 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458745 | Kevin C Meyer | Emergency Medicine | 85 N Grand Ave, Fort Thomas, KY 41075 | 2005-06-22 |
| 1528471653 | Taylor Duncan | Emergency Medicine | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2014-06-06 |
| 1225471543 | Andrew Richard Tee Vi | Emergency Medicine | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2013-04-17 |
| 1649536632 | Benjamin James Favier | Emergency Medicine | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2012-04-04 |
| 1235429333 | J'mir Cousar | Emergency Medicine | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2011-04-11 |
| 1679898324 | Erin K Davren | Emergency Medicine | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2010-04-06 |
| 1437389004 | Cheryl Koscik | Emergency Medicine | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2009-07-17 |
| 1427218221 | Andrew Elliott | Emergency Medicine | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2008-06-15 |
| 1003010539 | Richard Stewart | Emergency Medicine | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2007-06-11 |
| 1275673113 | Kevin Michael Ziegler | Emergency Medicine | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2007-02-08 |
| Find all providers in FORT THOMAS | ||||
| City | FORT THOMAS |
| Zip Code | 41075 |
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| 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.