MEDICARE: KAREN KAYE WALKER PLPC

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	101YP2500X	Professional Counselor	2010007558	MO

General Provider Information

NPI Number	:	1568776441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN KAYE WALKER PLPC

Provider Business Mailing Address
First Line	:	1111 NORTH BENTON AVENUE
Second Line	:
City	:	ST. CHARLES
State	:	MO
Zip	:	63301
Country	:	US
Telephone Number	:	636-734-3295
Fax Number	:

Provider Business Practice Location Address
First Line	:	566 1ST CAPITOL DR
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63301-2726
Country	:	US
Telephone Number	:	636-734-3295
Fax Number	:

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

Provider Enumeration Date	:	08/03/2010
Last Update Date	:	08/03/2010

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