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NPI Code Detail

MEDICARE: KRISTIN WALKER

MEDICARE: KRISTIN 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
1225200000XPhysical Therapy Assistant073616IA

General Provider Information

NPI Number : 1316348303
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN WALKER
Provider Business Mailing Address
First Line : 1236 LINCOLN AVE
Second Line : EVANSVILLE
City : EVANSVILLE
State : IN
Zip : 47714-1056
Country : US
Telephone Number : 812-422-8555
Fax Number :
Provider Business Practice Location Address
First Line : 4614 84TH ST
Second Line : URBANDALE
City : URBANDALE
State : IA
Zip : 50322-1089
Country : US
Telephone Number : 515-270-6838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2014
Last Update Date : 09/09/2014

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