Individual
KEVIN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
13601 MAPLE LEAF DR, GARFIELD HEIGHTS, OH 44125-4046
(480) 319-0077
Mailing address
13601 MAPLE LEAF DR, GARFIELD HEIGHTS, OH 44125-4046
(480) 319-0077
(615) 676-1084
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
29451
AZ
156FX1800X
Optician
Primary
OP.017062-SC
OH
Other
Enumeration date
08/21/2016
Last updated
03/28/2023
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