Provider Demographics
NPI:1770194326
Name:KIRKHAM-WALKER, SALEAH MARIE (RPH)
Entity Type:Individual
Prefix:DR
First Name:SALEAH
Middle Name:MARIE
Last Name:KIRKHAM-WALKER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:DR
Other - First Name:SALEAH
Other - Middle Name:MARIE
Other - Last Name:KIRKHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:4691 CREEKSIDE VILLAS WAY SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-4895
Mailing Address - Country:US
Mailing Address - Phone:865-293-2549
Mailing Address - Fax:
Practice Address - Street 1:950 TOWNE LAKE PKWY
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-1601
Practice Address - Country:US
Practice Address - Phone:770-924-0172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-16
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH031035183500000X
TN39676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist