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NPI Code Detail

MEDICARE: KRISTIN WALKER

MEDICARE: KRISTIN WALKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor73734TX

General Provider Information

NPI Number : 1184111056
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN WALKER
Provider Business Mailing Address
First Line : 3035 CANADIAN GOOSE LN
Second Line :
City : BAYTOWN
State : TX
Zip : 77521-5417
Country : US
Telephone Number : 346-977-8313
Fax Number :
Provider Business Practice Location Address
First Line : 3852 TELEPHONE RD APT 1102
Second Line :
City : HOUSTON
State : TX
Zip : 77023-5752
Country : US
Telephone Number : 281-299-5691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2018
Last Update Date : 03/22/2024

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Directions to “ KRISTIN WALKER ” Practice Location

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