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Individual

KEVIN G WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4700 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3225
(801) 475-3227
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3225
(801) 475-3227

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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