Provider Demographics
NPI:1790298131
Name:WALKER WARD, LLC
Entity Type:Organization
Organization Name:WALKER WARD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:276-200-8463
Mailing Address - Street 1:212 S PETERS RD STE 102
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-5217
Mailing Address - Country:US
Mailing Address - Phone:276-200-8463
Mailing Address - Fax:423-536-9923
Practice Address - Street 1:3805 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0547
Practice Address - Country:US
Practice Address - Phone:812-476-5577
Practice Address - Fax:423-536-9923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty