MEDICARE: KENYATTA 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	163WA0400X	Addiction (Substance Use Disorder) Registered Nurse	RN.530203	OH

General Provider Information

NPI Number	:	1982542650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENYATTA WALKER

Provider Business Mailing Address
First Line	:	4352 W SYLVANIA AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43623-3463
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4352 W SYLVANIA AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43623-3463
Country	:	US
Telephone Number	:	419-792-7950
Fax Number	:

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ KENYATTA WALKER ” Practice Location

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