Individual
KEISA T WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 FAIRLANE DR STE A3, MONTGOMERY, AL 36116-1610
(334) 593-0213
Mailing address
2820 FAIRLANE DR STE A3, MONTGOMERY, AL 36116-1610
(334) 451-0729
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AL
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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