Individual provider · Type 1 NPI

Kim NMN Walker, PA-C

Medical Physician Assistant · Fort Gordon, GA

NPI number 1548453673 Active

Practice location

300 W Hospital Rd
Fort Gordon, GA 30905-5741

Mailing address

418 Holmes Pond Rd
Johnston, SC 29832-2688

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X611 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1548453673

Kim NMN Walker, PA-C's National Provider Identifier is 1548453673, issued on Aug 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Gordon, GA. The record was last updated on Oct 3, 2013.