Organization
KELLY M. WALKER DPM,PLLC
Active
Other names
WALKER FOOT AND ANKLE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY MICHELLE WALKER DPM (OWNER)
(731) 325-5360
Entity
Organization
Contact information
Practice address
1950 US HIGHWAY 51 BYP N, SUITE C, DYERSBURG, TN 38024-1897
(731) 325-5360
(731) 325-5365
Mailing address
1950 US HIGHWAY 51 BYP N, SUITE C, DYERSBURG, TN 38024-1897
(731) 325-5360
(731) 325-5365
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
786
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB107558
GROUP PTAN
TX
01
—
TXB107559
INDIVIDUAL PTAN
TX
Enumeration date
03/09/2010
Last updated
09/14/2016
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