| Doctor Name: | MRS. KIMBERLY DEMETRIOU WALKER |
| NPI Number: | 1013266675 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 6556 |
| Business Practice Address: | 1000 Medical Center Blvd 500 Building, Suite 360 Lawrenceville, GA - 300467694 |
| Business Phone Number: | 6783123318 |
| Business Fax Number: | |
| Mailing Address: | 1000 Medical Center Blvd, 500 Building, Suite 360 LAWRENCEVILLE |
| State: | GA |
| Postal Code: | 300467694 |
| Phone Number: | 6783123318 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2012 |
| NPI Last Update Date: | 04/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 6556 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |