MEDICARE: KAGNEY 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
1	374U00000X	Home Health Aide	0141587	OH
2	101YS0200X	School Counselor	C.2507156-TRNE	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568917227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAGNEY WALKER

Provider Business Mailing Address
First Line	:	294 EASTLAND AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44305-2654
Country	:	US
Telephone Number	:	330-431-7238
Fax Number	:

Provider Business Practice Location Address
First Line	:	294 EASTLAND AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44305-2654
Country	:	US
Telephone Number	:	330-431-7238
Fax Number	:

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

Provider Enumeration Date	:	08/23/2016
Last Update Date	:	04/08/2026

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Directions to “ KAGNEY WALKER ” Practice Location

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