SearchMichiganPrevention Professional

Keith Walters

NPI 1114481868 · on the registry since 2019

Practice

Address
370 Country Club Rd Ste A
Holland, MI 49423
Phone
(616) 836-2896
Clinicians at this address
4

Registry record

Primary taxonomy
Prevention Professional
405300000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan