Individual
LISA R WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5000
(316) 291-4272
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(800) 374-5326
(800) 374-7656
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
01/10/2013
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