Kathleen B Walton (NPI# 1801383963, PAC ID# 3779821004) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801383963 |
| PAC ID by PECOS | 3779821004 |
| Professional Enrollment ID | I20190212003035 |
| Full Name | Kathleen B Walton |
| Organization Legal Name | KINGMAN HOSPITAL INC |
| Address |
4995 E Hwy 68 Suite 1 Golden Valley AZ 86413-5500 |
| Phone Number | 9286818500 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901791367 |
| Number of Group Practice Members | 144 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4995 E Hwy 68, Suite 1, Golden Valley, AZ 86413-5500 | 9286818500 | KINGMAN HOSPITAL INC |
| Organization Legal Name | KINGMAN HOSPITAL INC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Harris Kaplan | Gastroenterology | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 101, Kingman, AZ 86409-3593 |
| Michael Deboer | Family Medicine | Kingman Hospital Inc | 1726 E Beverly Ave, Suite A, Kingman, AZ 86409-3500 |
| Ben Tacheron | Pain Management | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Christopher A Porter Iv | Interventional Radiology | Kingman Hospital Inc | 1033 Sycamore Ave, Kingman, AZ 86409-3580 |
| Eric E Capriles | General Surgery | Kingman Hospital Inc | 3104 N Stockton Hill Rd, Kingman, AZ 86401-4183 |
| Kale Bodily | Diagnostic Radiology | Kingman Hospital Inc | 1608 N Stockton Hill Rd, Suite 104, Kingman, AZ 86401-4142 |
| Sungnam Joe | Internal Medicine | Kingman Hospital Inc | 2226 Hualapai Mountain Rd, Suite 101, Kingman, AZ 86401-8374 |
| Daniel M Riesenberg | Urology | Kingman Hospital Inc | 1712 Sycamore Ave, Kingman, AZ 86409-0927 |
| Deborah Raye Bennett | Family Medicine | Kingman Hospital Inc | 3116 N Stockton Hill Rd, Kingman, AZ 86401-4183 |
| Donald L Morgan | Family Medicine | Kingman Hospital Inc | 2202 N Stockton Hill Rd, Suite 101, Kingman, AZ 86401-4622 |
| Street Address |
4995 E HWY 68 SUITE 1 |
| City | GOLDEN VALLEY |
| State | AZ |
| Zip | 86413-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary L Beck | Nurse Practitioner | Kingman Hospital Inc | 4995 E Hwy 68, Suite 1, Golden Valley, AZ 86413-5500 |
| Jamie L Gillette | Physician Assistant | Kingman Hospital Inc | 4995 E Hwy 68, Golden Valley, AZ 86413-5500 |
| City | GOLDEN VALLEY |
| Zip Code | 86413 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GOLDEN VALLEY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathleen B Walton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.