Healthcare Provider Details
I. General information
NPI: 1568917227
Provider Name (Legal Business Name): KAGNEY WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/23/2016
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
294 EASTLAND AVE
AKRON OH
44305-2654
US
IV. Provider business mailing address
294 EASTLAND AVE
AKRON OH
44305-2654
US
V. Phone/Fax
- Phone: 330-431-7238
- Fax:
- Phone: 330-431-7238
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YS0200X |
| Taxonomy | School Counselor |
| License Number | C.2507156-TRNE |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | 0141587 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: