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Contact Information

KEVIN WALP
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM88103
 Phone: 316-258-0733
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KEVIN WALP · (Male)

NPI Number 1326888348
Status Active
Credentials
Entity Individual
Enumeration date 05/28/2024
Last updated 08/14/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 3281
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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