Individual
PAMELA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 STONEHAVEN DR, KNOXVILLE, TN 37938-3835
(865) 255-7230
Mailing address
1800 STONEHAVEN DR, KNOXVILLE, TN 37938-3835
(865) 255-7230
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
TN
311ZA0620X
Adult Care Home Facility
Primary
—
TN
3747P1801X
Personal Care Attendant
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251G00000X
—
TN
05
—
282J00000X
—
TN
05
—
311500000X
—
TN
05
—
311ZA0620X
—
TN
05
—
374K00000X
—
TN
Enumeration date
08/04/2014
Last updated
08/04/2014
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