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NPI Code Detail

MEDICARE: MRS. KAELY WALKER PA

MEDICARE: MRS. KAELY WALKER PA
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
1363A00000XPhysician Assistant50001684OH
2363A00000XPhysician AssistantT-01642KS

General Provider Information

NPI Number : 1730178583
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAELY WALKER PA
Provider Business Mailing Address
First Line : 9825 SHANNON WOODS
Second Line :
City : WICHITA
State : KS
Zip : 67226-4100
Country : US
Telephone Number : 316-634-2000
Fax Number : 316-634-2321
Provider Business Practice Location Address
First Line : 9825 SHANNON WOODS
Second Line :
City : WICHITA
State : KS
Zip : 67226-4100
Country : US
Telephone Number : 316-634-2000
Fax Number : 316-634-2321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 10/25/2007

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Directions to “ MRS. KAELY WALKER PA” Practice Location

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