Walker, Kelly
Walker, Kelly is an individual health care provider with primary practice located at 2017 W I 35 Frontage Rd Suite 250, Edmond OK 73013-8504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Walker, Kelly can be contacted via phone (405) 757-3340.Contact Information
Primary practice address
2017 W I 35 Frontage Rd Suite 250
Edmond OK 73013-8504
Phone: (405) 757-3340
Fax: (405) 757-3341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Oklahoma |
Profile Details
| NPI number | 1801293105 |
|---|---|
| LBN Legal business name | Walker, Kelly |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2014 |
| Last updated | Feb 2nd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801293105 | NPPES |
| Oklahoma | MEDICAID | 200569450A |
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