Provider Demographics
NPI:1245691583
Name:WALKER, KELLY A (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:A
Last Name:WALKER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N COIT RD STE 2502
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6664
Mailing Address - Country:US
Mailing Address - Phone:972-295-9000
Mailing Address - Fax:
Practice Address - Street 1:1400 N COIT RD STE 2502
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6664
Practice Address - Country:US
Practice Address - Phone:972-295-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX877025163W00000X
TX1170914207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No163W00000XNursing Service ProvidersRegistered Nurse