Individual
JEFFREY BRENT WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
440 SE ASHTON DR, LEES SUMMIT, MO 64063-1059
(816) 605-0452
Mailing address
440 SE ASHTON DR, LEES SUMMIT, MO 64063-1059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
79525
KS
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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