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Individual

KATARINA M WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002312A
IN
133V00000X
Registered Dietitian
CERT# 1018892
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000818474
ANTHEM PROVIDER NUMBER
IN
Enumeration date
05/03/2013
Last updated
01/17/2014
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