MEDICARE: KATHRYN 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
1	207LP3000X	Pediatric Anesthesiology Physician	29251	NE
2	207LP3000X	Pediatric Anesthesiology Physician	ME158248	FL
3	207L00000X	Anesthesiology Physician	ME158248	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265666242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN WALKER

Provider Business Mailing Address
First Line	:	8200 DODGE ST
Second Line	:	ONE CHILDREN'S HOSPITAL DRIVE
City	:	OMAHA
State	:	NE
Zip	:	68114-4113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 DODGE ST
Second Line	:	ONE CHILDREN'S HOSPITAL DRIVE
City	:	OMAHA
State	:	NE
Zip	:	68114-4113
Country	:	US
Telephone Number	:	402-955-4353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	04/07/2026

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Directions to “ KATHRYN WALKER ” Practice Location

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