Provider Demographics
NPI:1235396201
Name:WALKER, KATHRYN ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:ANN
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1247 RICKERT DR
Mailing Address - Street 2:STE 201
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-1008
Mailing Address - Country:US
Mailing Address - Phone:630-357-7979
Mailing Address - Fax:630-357-1047
Practice Address - Street 1:1247 RICKERT DR
Practice Address - Street 2:STE 201
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1008
Practice Address - Country:US
Practice Address - Phone:630-357-7979
Practice Address - Fax:630-357-1047
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN11014180A207Q00000X
IL036128253207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN11014180AOtherLICENSE #
IL9933040OtherBCBS
IL9933040OtherBCBS