Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Walthour

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710528161

Kelly Walthour is a Student in an Organized Health Care Education/Training Program in Coram, New York. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

3600 Route 112
Coram, NY 11727-4116
Phone: (631) 920-8558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1710528161
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2019
Last updated in NPPESOctober 7, 2019
Mailing address3600 Route 112, Coram, NY 11727-4116

Other providers in Coram