Individual
MR. JAMES J WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
155 LEES VALLEY RD, SHEPHERDSVILLE, KY 40165-6143
(502) 494-6631
(502) 333-9667
Mailing address
4502 TRUDY RURAL CT, LOUISVILLE, KY 40299-1141
(502) 494-6631
(502) 333-9667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3519
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100269790
—
KY
01
—
K018521
MEDICARE PTAN
—
Enumeration date
01/24/2007
Last updated
04/20/2021
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