Provider Demographics
NPI:1184247637
Name:WALKER, MONTOYA
Entity type:Individual
Prefix:
First Name:MONTOYA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3148 HARDESTY DR APT 4
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64128-3218
Mailing Address - Country:US
Mailing Address - Phone:816-724-2019
Mailing Address - Fax:
Practice Address - Street 1:3148 HARDESTY DR APT 4
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128-3218
Practice Address - Country:US
Practice Address - Phone:816-724-2019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula