Healthcare Provider Details

I. General information

NPI: 1053258848
Provider Name (Legal Business Name): ISRAEL V WALKER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 RESEARCH PARK DR
MANHATTAN KS
66502-5000
US

IV. Provider business mailing address

823 SW MULVANE ST
TOPEKA KS
66606-1764
US

V. Phone/Fax

Practice location:
  • Phone: 785-532-5500
  • Fax:
Mailing address:
  • Phone: 785-354-9591
  • Fax: 785-354-0519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number15-03286
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: