Individual
KATHY LYNN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
3609 WINCROSS DR, MEMPHIS, TN 38119-9135
(901) 212-7870
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23151
TN
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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