Mrs Kelly Nichole Walter, EDS is a
Psychologist - School based in New London, Ohio. Mrs Kelly Nichole Walter is licensed to practice in Ohio (license number OH3151583) and her current practice location is
1 Wildcat Dr, New London, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 929-1586.
NPI number for Mrs Kelly Nichole Walter is 1194262535 and her current mailing address is 1 Wildcat Dr, New London, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194262535.
Healthcare Provider's Profile
Full Name | Mrs Kelly Nichole Walter |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 1 Wildcat Dr, New London, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194262535
- Provider Enumeration Date: 01/24/2017
- Last Update Date: 01/24/2017
Medical Identifiers
Medical identifiers for Mrs Kelly Nichole Walter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194262535 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | OH3151583 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Nichole Walter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kelly Nichole Walter, EDS 1 Wildcat Dr, New London, OH 44851-9262 Ph: (419) 929-1586 | Mrs Kelly Nichole Walter, EDS 1 Wildcat Dr, New London, OH 44851-9262 Ph: (419) 929-1586 |
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