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NPI Code Detail

MEDICARE: KIMBERLY ANNE WALKER PA-C

MEDICARE: KIMBERLY 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
1363A00000XPhysician AssistantMA003260LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1262081F6KOTHERPAMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770580185
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANNE WALKER PA-C
Provider Business Mailing Address
First Line : 7 DOCK HILL RD
Second Line :
City : MIDDLEBURG
State : PA
Zip : 17842-8910
Country : US
Telephone Number : 570-837-2123
Fax Number : 570-837-2185
Provider Business Practice Location Address
First Line : 1199 COLONIAL RD
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-1900
Country : US
Telephone Number : 717-652-8436
Fax Number : 717-652-8804
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 12/07/2018

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Directions to “ KIMBERLY ANNE WALKER PA-C” Practice Location

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