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NPI Code Detail

MEDICARE: KALEAH LANAE WALKER

MEDICARE:   KALEAH LANAE WALKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1154284115
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEAH LANAE WALKER
Provider Business Mailing Address
First Line : 13033 RED VULCAN CT
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-4886
Country : US
Telephone Number : 312-858-0841
Fax Number :
Provider Business Practice Location Address
First Line : 3300 W CAMELBACK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85017-3030
Country : US
Telephone Number : 602-639-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2025
Last Update Date : 12/06/2025

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Directions to “ KALEAH LANAE WALKER ” Practice Location

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