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

Mr. Kevin John Walters, LPN

Individual provider Home Health Agency · NPI 1124650262

Mr. Kevin John Walters, LPN is a Home Health Agency in Grandville, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

3097 Prairie St SW
Grandville, MI 49418-2000
Phone: (616) 531-9973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703079623 (MI)
Home Health Agency Taxonomy 251E00000X · Licence 1649257734 (MI)

Record details

NPI number1124650262
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedFebruary 6, 2020
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020

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