Individual
LISA R WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1257 N BUCKNER ST, DERBY, KS 67037-2721
(316) 788-5939
(316) 788-5945
Mailing address
1257 N BUCKNER ST, DERBY, KS 67037-2721
(316) 788-5939
(316) 788-5945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1399613
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557118
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200970250A
—
KS
Enumeration date
05/23/2012
Last updated
08/03/2026
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