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Individual

DR. DONALD EDWARD WALKER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4400 BROADWAY, SUITE 407, KANSAS CITY, MO 64111-5941
(816) 932-1711
(816) 932-1719
Mailing address
4400 BROADWAY ST, SUITE 407, KANSAS CITY, MO 64111-3498
(816) 932-1711
(816) 932-1719

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R9358
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10641051
BC/BS OF KC
MO
05
204792808
MO
01
P00445189
RAILROAD
MO
Enumeration date
07/18/2006
Last updated
04/13/2012
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