Provider Demographics
NPI:1396746871
Name:WALKER, KATHY HINMAN (PHYSICIAN ASST)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:HINMAN
Last Name:WALKER
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Gender:F
Credentials:PHYSICIAN ASST
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Mailing Address - Street 1:9869 OCEAN HWY W STE 10
Mailing Address - Street 2:
Mailing Address - City:CALABASH
Mailing Address - State:NC
Mailing Address - Zip Code:28467-2636
Mailing Address - Country:US
Mailing Address - Phone:910-755-6232
Mailing Address - Fax:910-755-5984
Practice Address - Street 1:9869 OCEAN HWY W STE 10
Practice Address - Street 2:
Practice Address - City:CALABASH
Practice Address - State:NC
Practice Address - Zip Code:28467
Practice Address - Country:US
Practice Address - Phone:910-575-0281
Practice Address - Fax:910-550-3773
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2019-01-14
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Provider Licenses
StateLicense IDTaxonomies
NC101680363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S83387Medicare UPIN