Provider Demographics
NPI:1306864079
Name:WALKER, DONALD EDWARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EDWARD
Last Name:WALKER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4400 BROADWAY ST
Mailing Address - Street 2:SUITE 407
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3498
Mailing Address - Country:US
Mailing Address - Phone:816-932-1711
Mailing Address - Fax:816-932-1719
Practice Address - Street 1:4400 BROADWAY
Practice Address - Street 2:SUITE 407
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5941
Practice Address - Country:US
Practice Address - Phone:816-932-1711
Practice Address - Fax:816-932-1719
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2012-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR93582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO10641051OtherBC/BS OF KC
MOP00445189OtherRAILROAD
MO204792808Medicaid
MO204792808Medicaid
MOF066478BMedicare PIN