Individual
KEIONNA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
228 DEBORAH LN, BEDFORD, OH 44146-3216
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA12345NP
OH
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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