Individual
KATHRYN RENEE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
330 N BROAD ST, FOREST, MS 39074-3508
(601) 469-4151
(601) 469-4724
Mailing address
526 FRANKLIN RD, MORTON, MS 39117-8934
(601) 537-3202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R591823
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118904
—
MS
Enumeration date
08/20/2006
Last updated
03/16/2011
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