MEDICARE: KENDALL 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	163W00000X	Registered Nurse	972876	TX

General Provider Information

NPI Number	:	1497681142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDALL WALKER

Provider Business Mailing Address
First Line	:	6000 COLUMBUS AVE APT 2410
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-6172
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 COLUMBUS AVE APT 2410
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-6172
Country	:	US
Telephone Number	:	903-949-1192
Fax Number	:

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

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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Directions to “ KENDALL WALKER ” Practice Location

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