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Individual

JOHN A WALKER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 BRECKENRIDGE ST STE 401, OWENSBORO, KY 42303-0878
(270) 688-4430
(270) 688-4439
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-4430
(270) 688-4439

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35093557
OH
207Q00000X
Family Medicine Physician
Primary
47349
KY
208D00000X
General Practice Physician
47349
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003849910
LODI COMMUNITY CARE CENTER TYPE 2 NPI #
OH
01
1801807870
LODI COMMUNITY HOSPITAL TYPE 2 NPI #
OH
01
2396081
LODI COMMUNITY HOSPITAL GROUP MEDICAID #
OH
05
2948958
OH
01
3613031
LODI COMMUNITY HOSPITAL GROUP MEDICARE #
OH
Enumeration date
02/12/2009
Last updated
11/27/2023
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