Individual
JESSICA VAVRA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
740 SOUTH LIMESTONE, LEXINGTON, KY 40508
(859) 257-8344
Mailing address
109 S NORTHSHORE DR STE 101, KNOXVILLE, TN 37919-4925
(865) 450-9253
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
50921
KY
208200000X
Plastic Surgery Physician
Primary
65046
TN
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
50921
KY
208600000X
Surgery Physician
L2492966
MI
Other
Enumeration date
07/01/2013
Last updated
08/18/2022
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