Individual
KEVIN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 S UNIVERSITY AVE, PROVO, UT 84601-4427
(801) 851-7188
Mailing address
1151 E 660 N, SPANISH FORK, UT 84660-1370
(801) 369-9305
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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