Individual
KENNETH JAMES WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 S HOUSTON LAKE RD, WARNER ROBINS, GA 31088-6392
(478) 971-2500
(478) 971-2503
Mailing address
300 S HOUSTON LAKE RD, WARNER ROBINS, GA 31088-6392
(478) 971-2500
(478) 971-2503
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
031853
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00403763B
—
GA
Enumeration date
09/26/2006
Last updated
07/08/2007
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