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NPI Code Detail

MEDICARE: DR. KAREN DIETRICH WALKER M.D.

MEDICARE: DR. KAREN DIETRICH WALKER M.D.
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
1207N00000XDermatology Physician00026457AL

General Provider Information

NPI Number : 1669430872
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN DIETRICH WALKER M.D.
Provider Business Mailing Address
First Line : 4410 WATERMELON RD
Second Line :
City : NORTHPORT
State : AL
Zip : 35473-5204
Country : US
Telephone Number : 205-345-1520
Fax Number : 205-345-1761
Provider Business Practice Location Address
First Line : 4410 WATERMELON RD
Second Line :
City : NORTHPORT
State : AL
Zip : 35473-5204
Country : US
Telephone Number : 205-345-1520
Fax Number : 205-345-1761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 12/26/2012

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