Individual
LINDA A WALKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
Mailing address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
10299
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
28074127A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3125033
BCBS
TN
05
—
3628038
—
TN
05
—
74001157
—
KY
Enumeration date
01/11/2006
Last updated
01/31/2025
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