Organization
RVLWF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN WALKER APRN CRNA (CEO)
(865) 392-6262
Entity
Organization
Contact information
Practice address
42450 W 12 MILE RD STE 105, NOVI, MI 48377-3011
(248) 970-1340
(833) 673-0185
Mailing address
10608 FLICKENGER LN, KNOXVILLE, TN 37922-3485
(865) 392-6262
(865) 674-5089
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
03/14/2022
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