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Individual

DR. KEVIN MICHAEL WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
104 S FREYA ST, #217 LILAC FLAG BUILDING, SPOKANE, WA 99202-4862
(509) 831-7621
Mailing address
104 S FREYA ST, #217 LILAC FLAG BUILDING, SPOKANE, WA 99202-4862

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 60297871
WA
1835G0303X
Geriatric Pharmacist
PH 60297871
WA
1835N1003X
Nutrition Support Pharmacist
PH 60297871
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH 60297871
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH 60297871
PHARMACIST LICENSE CREDENTIAL NUMBER
WA
Enumeration date
11/20/2012
Last updated
11/20/2012
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