Healthcare Provider Details

I. General information

NPI: 1720206105
Provider Name (Legal Business Name): DAMION Y WALKER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10100 E SHANNON WOODS CIR STE 100
WICHITA KS
67226-4106
US

IV. Provider business mailing address

10100 E SHANNON WOODS CIR STE 100
WICHITA KS
67226-4106
US

V. Phone/Fax

Practice location:
  • Phone: 316-219-8299
  • Fax: 316-219-5899
Mailing address:
  • Phone: 316-219-8299
  • Fax: 316-219-5899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number0533071
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number2007008574
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0533071
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: