Individual
KEVIN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
12225 CLAYTON RD, SAINT LOUIS, MO 63131-2303
(314) 302-1402
Mailing address
12225 CLAYTON RD, SAINT LOUIS, MO 63131-2303
(314) 302-1402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
132987
MO
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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