Individual
KAYLA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3050 E RIVER BLUFF BLVD, OZARK, MO 65721-8807
(417) 820-5610
Mailing address
3050 E RIVER BLUFF BLVD, OZARK, MO 65721-8807
(417) 820-5610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021011769
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1182234
NCCPA
MO
Enumeration date
08/06/2021
Last updated
09/01/2021
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