IndividualActive
Kimberly Walter
NPI 1275378291 · Medical Technologist · Daytona Beach, FL
Provider details
- NPI number
- 1275378291
- Entity type
- Individual
- Primary specialty
- Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 58528 (FL)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone: (386) 231-6000
Approximate (ZIP-level) locationGet directions
Mailing address
4501 Nettle Creek Ct
Port Orange, FL 32127-4909
Registry dates
- Enumerated
- 2024-07-01
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.