Healthcare Provider Details

I. General information

NPI: 1770706525
Provider Name (Legal Business Name): RICHARD CHARLES WALKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2407 N ROOSEVELT BLVD
KEY WEST FL
33040-3837
US

IV. Provider business mailing address

2407 N ROOSEVELT BLVD
KEY WEST FL
33040-3837
US

V. Phone/Fax

Practice location:
  • Phone: 305-294-1068
  • Fax: 305-294-4666
Mailing address:
  • Phone: 305-294-1068
  • Fax: 305-294-4666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME0033124
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberME0033124
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: