Mia Mckenzie Walters, PA-C
NPI #1801687355 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1801687355
- Entity Type
- Individual
- Name
- Mia Mckenzie Walters, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 14, 2025
- Last Updated
- Nov 24, 2025
Practice Location
- Address
- 1455 VILLAGE CIRCLE DR
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-4321
- Phone
- (618) 477-1810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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