Healthcare Provider Details

I. General information

NPI: 1144603291
Provider Name (Legal Business Name): AKIMI A. WALKER M.S., ED.S. (SCHOOL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIMI A. WALKER M.S., ED.S.

II. Dates (important events)

Enumeration Date: 07/08/2015
Last Update Date: 04/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9801 FALL CREEK RD #235
INDIANAPOLIS IN
46256-4802
US

IV. Provider business mailing address

9801 FALL CREEK RD #235
INDIANAPOLIS IN
46256-4802
US

V. Phone/Fax

Practice location:
  • Phone: 317-899-9901
  • Fax:
Mailing address:
  • Phone: 317-899-9901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: