Individual
M. KENT WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
102 W JACKSON BLVD, JONESBOROUGH, TN 37659-1224
(423) 753-4446
(423) 753-4587
Mailing address
102 W JACKSON BLVD, JONESBOROUGH, TN 37659-1224
(423) 753-4446
(423) 753-4587
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5875
TN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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