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1376887901 NPI number — KEVIN MICHAEL WALKER PHARMD

NPI Number: 1376887901
Health Care Provider/Practitioner: KEVIN MICHAEL WALKER PHARMD

Information about “1376887901” NPI (KEVIN MICHAEL WALKER PHARMD) exists in 1376887901 in HTML format HTML  |  1376887901 in plain Text format TXT  |  1376887901 in PDF (Portable Document Format) PDF  |  1376887901 in an XML format XML  formats.

NPI Number : 1376887901 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376887901",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALKER",
    "FirstName": "KEVIN",
    "MiddleName": "MICHAEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "104 S FREYA ST",
    "SecondLineMailingAddress": "#217 LILAC FLAG BUILDING",
    "MailingAddressCityName": "SPOKANE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99202-4862",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "104 S FREYA ST",
    "SecondLinePracticeLocationAddress": "#217 LILAC FLAG BUILDING",
    "PracticeLocationAddressCityName": "SPOKANE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99202-4862",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-831-7621",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/20/2012",
    "LastUpdateDate": "11/20/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "PH 60297871",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1835G0303X",
          "TaxonomyName": "Geriatric Pharmacist",
          "LicenseNumber": "PH 60297871",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1835N1003X",
          "TaxonomyName": "Nutrition Support Pharmacist",
          "LicenseNumber": "PH 60297871",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1835P0018X",
          "TaxonomyName": "Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
          "LicenseNumber": "PH 60297871",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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