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Individual

KENT LYLE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2933 BRECKENRIDGE LN STE 103, LOUISVILLE, KY 40220-1494
(502) 394-5678
(502) 394-5600
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
04356
KY
207XP3100X
Pediatric Orthopaedic Surgery Physician
3178
TN

Other

Enumeration date
07/16/2012
Last updated
04/11/2024
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