MR. KEVIN OLIVER WALKER IDC NPI 1336286160

NPI Information

NPI: 1336286160
Provider Name: MR. KEVIN OLIVER WALKER, IDC
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
2650 STOCKTON ROAD
BLD 624
SAN DIEGO, CA
ZIP 92106
Phone: (619) 524-4450
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MR. Kevin Oliver Walker, IDC is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. MR. Kevin Oliver Walker, IDC NPI is 1336286160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2650 STOCKTON ROAD
BLD 624
SAN DIEGO, CA
ZIP 92106
Phone: (619) 524-4450

The enumeration date for this NPI number is 1/31/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171000000X	Military Health Care Provider				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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