Individual
MS. COLLEEN MARIE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3945 NANZ AVE, LOUISVILLE, KY 40207
(502) 899-1100
(502) 614-6508
Mailing address
3945 NANZ AVE, LOUISVILLE, KY 40207
(502) 899-1100
(502) 614-6508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38075
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000303349
ANTHEM / NCMA
—
01
—
000023030R
HUMANA / NCMA
—
01
—
025335
SIHO / NCMA
—
01
—
1058625
CIGNA / NCMA
—
01
—
1207494
CHA / NCMA
—
01
—
2443777000
PASSPORT ADVANTAGE / NCMA
—
01
—
50002257
PASSPORT / NCMA
—
05
—
64079247
—
KY
01
—
P00048494
RAILROAD MEDICARE
KY
Enumeration date
04/19/2006
Last updated
01/28/2019
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