Individual
KIMBERLY ANNE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1199 COLONIAL RD, HARRISBURG, PA 17112-1900
(717) 652-8436
(717) 652-8804
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA003260L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031606910001
—
PA
01
—
262081F6K
MEDICARE
PA
Enumeration date
06/30/2005
Last updated
12/07/2018
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