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Individual

KIMBERLI WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
7651 MATAPEAKE BUSINESS DR STE 203, BRANDYWINE, MD 20613-3042
(301) 782-4600
(301) 782-4601
Mailing address
7651 MATAPEAKE BUSINESS DR STE 203, BRANDYWINE, MD 20613-3042
(301) 782-4600
(301) 782-4601

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20891
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
172197YZW
DC MEDICARE PTAN
01
173323ZAKW
MARYLAND MEDICARE PTAN
01
46950019
BCBS PROVIDER NUMBER
DC
01
52 1054342
GMO GROUP TAX ID #
01
644684
BCBS MD PROVIDER#
MD
Enumeration date
07/10/2006
Last updated
03/06/2023
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