Individual
KATHLEEN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
3001
LA
2471R0002X
Radiation Therapy Radiologic Technologist
222780
MN
2471R0002X
Radiation Therapy Radiologic Technologist
8623
LA
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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