Provider Demographics
NPI:1144602632
Name:WALKE, ALICIA KATHERINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:KATHERINE
Last Name:WALKE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ALICIA
Other - Middle Name:KATHERINE
Other - Last Name:KRONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:511 N BLUFF ST.
Mailing Address - Street 2:
Mailing Address - City:GUTTENBERG
Mailing Address - State:IA
Mailing Address - Zip Code:52052
Mailing Address - Country:US
Mailing Address - Phone:563-252-2150
Mailing Address - Fax:
Practice Address - Street 1:511 N BLUFF ST.
Practice Address - Street 2:
Practice Address - City:GUTTENBERG
Practice Address - State:IA
Practice Address - Zip Code:52052
Practice Address - Country:US
Practice Address - Phone:563-252-2150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-22
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-09234122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist