Provider Demographics
NPI:1326367871
Name:WALKER, KENIA Y (TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:KENIA
Middle Name:Y
Last Name:WALKER
Suffix:
Gender:F
Credentials:TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE LIRIO BUENAVENTURA
Mailing Address - Street 2:BZN.236
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-310-0167
Mailing Address - Fax:
Practice Address - Street 1:AVE. PAZ GRANELA URB. SANTIAGO IGLESIAS
Practice Address - Street 2:#1489
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-749-0438
Practice Address - Fax:787-782-8974
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3662183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician