Individual
MISS ANDRA M WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6265 ROCK CHALK DR STE 1100, LAWRENCE, KS 66049-5232
(785) 842-5070
(785) 505-5264
Mailing address
325 MAINE STREET, MSO LIBRARY, LAWRENCE, KS 66044
(785) 505-2988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1502328
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004978620001
—
KS
Enumeration date
01/02/2008
Last updated
10/25/2024
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