MEDICARE: DR. KATRINA EAKER WALTERS MD

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
1	207Q00000X	Family Medicine Physician	61503	KY
2	207Q00000X	Family Medicine Physician	12632	HI

General Provider Information

NPI Number	:	1497728588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATRINA EAKER WALTERS MD

Provider Business Mailing Address
First Line	:	210 SHALIMAR LN
Second Line	:
City	:	SHEPHERDSVILLE
State	:	KY
Zip	:	40165-5611
Country	:	US
Telephone Number	:	573-433-9243
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 BRULE ST
Second Line	:
City	:	FORT KNOX
State	:	KY
Zip	:	40121-6100
Country	:	US
Telephone Number	:	502-626-9743
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	02/25/2026

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