Provider Demographics
NPI:1467288084
Name:WALKER, KATHERINE ANN (APRN)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANN
Last Name:WALKER
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 E CENTRAL AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2382
Mailing Address - Country:US
Mailing Address - Phone:316-636-2662
Mailing Address - Fax:
Practice Address - Street 1:8020 E CENTRAL AVE STE 200
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2382
Practice Address - Country:US
Practice Address - Phone:316-636-2662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-82852-102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily