Individual
KELLY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6220 W MAIN ST, KALAMAZOO, MI 49009-8925
(269) 276-4744
(269) 353-5856
Mailing address
17335 OLEANDER AVE, TINLEY PARK, IL 60477-3226
(708) 710-0737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704309024
MI
Other
Enumeration date
01/23/2015
Last updated
11/27/2023
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