Kelly R Walter
Kelly R Walter is a Nurse Practitioner in Decatur, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2026
Practice location Address checks out
4662 Dogwood CtDecatur, IL 62526-9326
Phone: (217) 413-7519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 041.370135 (IL) |
|---|
Record details
| NPI number | 1447196183 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2026 |
| Last updated in NPPES | April 27, 2026 |
| Certification date | April 26, 2026 |
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