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Individual

ALICIA WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
463 HUDSON PARK DR, MADISONVILLE, KY 42431-8785
(270) 712-0082
Mailing address
360 NEEDMORE RD APT 306, CLARKSVILLE, TN 37040-7149
(270) 712-0082

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-00217
KY
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/06/2026
Last updated
05/29/2026
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