Individual
MRS. KENDRA NICOLE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
128 WATEROAK DR, IRMO, SC 29063-9412
(803) 413-4702
Mailing address
128 WATEROAK DR, IRMO, SC 29063-9412
(803) 413-4702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
203563
SC
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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