Individual
DR. JON DAVID WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD ,PSC
Contact information
Practice address
3 AUDUBON PLAZA DR, SUITE #450, LOUISVILLE, KY 40217-1319
(502) 636-0800
(502) 636-0957
Mailing address
3 AUDUBON PLAZA DR, SUITE #450, LOUISVILLE, KY 40217-1319
(502) 636-0800
(502) 636-0957
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
17409
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244277
ANTHEM
KY
01
—
1169724
PASSPORT
KY
05
—
64174097
—
KY
Enumeration date
01/18/2007
Last updated
12/08/2010
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