Provider Demographics
NPI:1376566430
Name:WALKER, ANDREW FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:FRANCIS
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 801143
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-1143
Mailing Address - Country:US
Mailing Address - Phone:573-331-5583
Mailing Address - Fax:573-331-5079
Practice Address - Street 1:211 SAINT FRANCIS DR
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-5049
Practice Address - Country:US
Practice Address - Phone:573-331-5329
Practice Address - Fax:573-331-5085
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9J90207L00000X, 208VP0000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO110375OtherHEALTH LINK
MO084339OtherHEALTH ALLIANCE
MO050091677OtherRAILROAD MEDICARE
MO405586OtherBCBS
MOA128OtherCHAMPUS/TRICARE
MO110375OtherHEALTH LINK
MO405586OtherBCBS
MO084339OtherHEALTH ALLIANCE