Individual
KAITLYN NICOLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 RED BANK RD, CINCINNATI, OH 45227
(513) 791-5200
(513) 791-5229
Mailing address
4460 RED BANK RD, CINCINNATI, OH 45227-2172
(513) 791-5200
(513) 791-5229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP.023076
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JVCZ00056661
BLUE CROSS BLUE SHIELD- ANTHEM
OH
Enumeration date
09/06/2017
Last updated
10/21/2019
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