Individual
KIMBERLI WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
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
Update your record
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