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Individual

JOHN CLINTON WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10701 NALL AVE, SUITE 200, OVERLAND PARK, KS 66211-1231
(913) 381-5225
(913) 901-0186
Mailing address
10701 NALL AVE, SUITE 200, OVERLAND PARK, KS 66211-1231
(913) 381-5225
(913) 901-0186

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
04-33052
KS
207XS0106X
Orthopaedic Hand Surgery Physician
2008009826
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-33052
STATE LICENSE
KS
01
2008009826
STATE LICENSE
MO
01
40230013
BCBS
KS
01
P00639954
RR MEDICARE
KS
01
P00666804
RR MEDICARE
MO
Enumeration date
10/09/2006
Last updated
07/29/2019
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