Provider Demographics
NPI:1831979160
Name:WALKER, KENYA N (RN)
Entity type:Individual
Prefix:MS
First Name:KENYA
Middle Name:N
Last Name:WALKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:KENYA
Other - Middle Name:N
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:1316 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-2208
Mailing Address - Country:US
Mailing Address - Phone:347-821-8656
Mailing Address - Fax:
Practice Address - Street 1:1316 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-2208
Practice Address - Country:US
Practice Address - Phone:347-821-8656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY441697163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool