KELLY M. WALKER DPMPLLC NPI 1700109477

NPI Information

  • NPI: 1700109477
  • Provider Name: KELLY M. WALKER DPM,PLLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Doing Business As: WALKER FOOT AND ANKLE
  • Address: 1950 US HIGHWAY 51 BYP N
    SUITE C
    DYERSBURG, TN
    ZIP 38024
  • Phone: (731) 325-5360

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NPI Details

KELLY M. WALKER DPM,PLLC is a foot and ankle surgery podiatrist in Dyersburg, TN. KELLY M. WALKER DPM,PLLC NPI is 1700109477. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Walker Foot And Ankle.

The provider's business location address is:

1950 US HIGHWAY 51 BYP N
SUITE C
DYERSBURG, TN
ZIP 38024-897
Phone: (731) 325-5360
Fax: (731) 325-5365

The provider's authorized official is Kelly Michelle Walker .
The authorized official title is Owner and has the following contact phone number (731) 325-5360.

The enumeration date for this NPI number is 3/9/2010 and was last updated on 9/14/2016.

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
1213ES0103XPodiatristFoot & Ankle Surgery786TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1TXB107558OTHERTEXASGROUP PTAN
2U75162MEDICARE UPINTEXAS
36385400001MEDICARE NSCTEXAS
4TXB107559OTHERTEXASINDIVIDUAL PTAN

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: 11/21/2025

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