Individual
PHILLIP G. WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1300 ANDREA ST, SUITE 205, BOWLING GREEN, KY 42104-3382
(270) 205-4585
(270) 936-7333
Mailing address
1300 ANDREA ST, SUITE 205, BOWLING GREEN, KY 42104-3382
(270) 205-4585
(270) 936-7333
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3009635
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100373090
—
KY
Enumeration date
08/14/2015
Last updated
07/21/2022
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