Healthcare Provider Details

I. General information

NPI: 1932542701
Provider Name (Legal Business Name): KYLE EDWARD WALKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6620 COYLE AVE #212
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

6620 COYLE AVE #212
SACRAMENTO CA
95817-2307
US

V. Phone/Fax

Practice location:
  • Phone: 916-536-9455
  • Fax: 916-536-9424
Mailing address:
  • Phone: 916-536-9455
  • Fax: 916-536-9424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number187384
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number187384
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: