Kaylin Walters, PA
Physician Assistant, Medical in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164045142
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1164045142
- Entity type
- Individual (NPI-1)
- Name
- Kaylin Walters
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2020
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 5601010540 | MI | Yes |
Practice location
655 Kenmoor Ave Se Ste 101Grand Rapids, MI 49546-8622
Phone 616-900-9911 · Fax 616-900-9862
Mailing address
655 Kenmoor Ave Se Ste 101Grand Rapids, MI 49546-8622
Phone 616-900-9911 · Fax 616-900-9862
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