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Individual
KEVIN G WALKER
Active
Individual
KEVIN G WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
106284-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480012534
RR MEDICARE
UT
Enumeration date
10/06/2005
Last updated
01/18/2017
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