Individual
KELLY D WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4455 CORDATA PKWY, BELLINGHAM, WA 98226-8037
(360) 671-3225
(360) 671-0000
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61193018
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210705
—
WA
Enumeration date
05/31/2011
Last updated
11/24/2023
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