Healthcare Provider Details

I. General information

NPI: 1689587222
Provider Name (Legal Business Name): MS. KATHLEEN M WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9104 HUDSON CT
YORK PA
17403-1419
US

IV. Provider business mailing address

9104 HUDSON CT
YORK PA
17403-1419
US

V. Phone/Fax

Practice location:
  • Phone: 717-798-4901
  • Fax:
Mailing address:
  • Phone: 717-798-4901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number12466
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: