Provider Demographics
NPI:1588701288
Name:WALKER, KAREN STRAIT (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:STRAIT
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 396
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71061-0396
Mailing Address - Country:US
Mailing Address - Phone:318-573-8852
Mailing Address - Fax:318-995-6535
Practice Address - Street 1:103 SOUTH LA HWY. 1
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:LA
Practice Address - Zip Code:71061
Practice Address - Country:US
Practice Address - Phone:318-995-6504
Practice Address - Fax:318-995-6535
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA201244207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1458937Medicaid
LA4K512F952Medicare PIN
LA4K512CY16Medicare PIN