Healthcare Provider Details

I. General information

NPI: 1821475641
Provider Name (Legal Business Name): KARLENE DIONNE WALKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2015
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 20TH ST S STE 140
BIRMINGHAM AL
35205-2610
US

IV. Provider business mailing address

930 20TH ST S STE 140
BIRMINGHAM AL
35205-2610
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-8923
  • Fax:
Mailing address:
  • Phone: 205-934-8923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35704
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number35704
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: