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NPI Code Detail

MEDICARE: KALEY ANN WALTER PA-C

MEDICARE: KALEY ANN WALTER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285299958
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEY ANN WALTER PA-C
Provider Business Mailing Address
First Line : 1 TAMPA GENERAL CIR
Second Line :
City : TAMPA
State : FL
Zip : 33606-3571
Country : US
Telephone Number : 813-660-6950
Fax Number :
Provider Business Practice Location Address
First Line : 5 TAMPA GENERAL CIR STE 860
Second Line :
City : TAMPA
State : FL
Zip : 33606-3573
Country : US
Telephone Number : 813-660-6950
Fax Number : 813-660-6622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2019
Last Update Date : 12/19/2022

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Directions to “ KALEY ANN WALTER PA-C” Practice Location

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