Healthcare Provider Details

I. General information

NPI: 1477480192
Provider Name (Legal Business Name): KIMBERLEE WALTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9395 MONETA RD
BEDFORD VA
24523-4438
US

IV. Provider business mailing address

9395 MONETA RD
BEDFORD VA
24523-4438
US

V. Phone/Fax

Practice location:
  • Phone: 540-521-1718
  • Fax:
Mailing address:
  • Phone: 540-521-1718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: