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NPI Code Detail

MEDICARE: KATHRYN RENEE WALKER CFNP

MEDICARE: KATHRYN RENEE WALKER CFNP
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
1363LF0000XFamily Nurse PractitionerR591823MS

Other Identifiers

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

General Provider Information

NPI Number : 1710092986
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN RENEE WALKER CFNP
Provider Business Mailing Address
First Line : 526 FRANKLIN RD
Second Line :
City : MORTON
State : MS
Zip : 39117-8934
Country : US
Telephone Number : 601-537-3202
Fax Number :
Provider Business Practice Location Address
First Line : 330 N BROAD ST
Second Line :
City : FOREST
State : MS
Zip : 39074-3508
Country : US
Telephone Number : 601-469-4151
Fax Number : 601-469-4724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 03/16/2011

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Directions to “ KATHRYN RENEE WALKER CFNP” Practice Location

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