Healthcare Provider Details

I. General information

NPI: 1689121477
Provider Name (Legal Business Name): AMY KRISTINE WALKER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2016
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7341 W 133RD ST
OVERLAND PARK KS
66213-4750
US

IV. Provider business mailing address

1801 BRENT LN
GREENWOOD MO
64034-9409
US

V. Phone/Fax

Practice location:
  • Phone: 913-297-7472
  • Fax:
Mailing address:
  • Phone: 816-699-6024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2016032507
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: