Individual
DR. CRYSTAL RACHELLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6943 W 37TH ST N, WICHITA, KS 67205-9302
(316) 613-2077
(316) 613-2969
Mailing address
6943 W 37TH ST N, WICHITA, KS 67205-9302
(316) 613-2077
(316) 613-2969
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
603
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200385980 A
—
KS
Enumeration date
07/31/2006
Last updated
10/13/2016
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