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

Mr. Keith P Walters

Individual provider Prevention Professional · NPI 1114481868

Mr. Keith P Walters is a Prevention Professional in Holland, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

370 Country Club Rd Ste A
Holland, MI 49423-8303
Phone: (616) 836-2896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence N438257 (MI)

Record details

NPI number1114481868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 28, 2019
Last updated in NPPESJanuary 28, 2019
Mailing address370 Country Club Rd Ste A, Holland, MI 49423-8303

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