Individual
KAITLIN VIRGINIA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 257-1000
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2591
KY
363AM0700X
Medical Physician Assistant
PA2591
KY
363AS0400X
Surgical Physician Assistant
PA2591
KY
Other
Enumeration date
12/18/2019
Last updated
06/04/2020
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