MEDICARE: MRS. BETHANEY ANNE WALKER PA-C

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	363A00000X	Physician Assistant	50.009851RX	OH

General Provider Information

NPI Number	:	1710831979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BETHANEY ANNE WALKER PA-C

Provider Business Mailing Address
First Line	:	30 E APPLE ST STE 5254
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45409-2939
Country	:	US
Telephone Number	:	937-208-4200
Fax Number	:	937-208-2678

Provider Business Practice Location Address
First Line	:	30 E APPLE ST STE 5254
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45409-2939
Country	:	US
Telephone Number	:	937-208-4200
Fax Number	:	937-208-2678

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

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	03/17/2026

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