Individual
KATHRYN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
13-68463-072
KS
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
53-74903-072
KS
Other
Enumeration date
08/03/2011
Last updated
11/05/2012
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