Individual
KELLY A WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
70 MAPLE AVE, SMITHTOWN, NY 11787-3502
(631) 361-7526
Mailing address
90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 13202-2240
(315) 464-5210
(315) 464-2141
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F0007251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02226277
—
NY
Enumeration date
07/18/2006
Last updated
03/29/2018
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