| Doctor Name: | KAILI WALKER |
| NPI Number: | 1023382108 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.C |
| License Number: | 5601006287 |
| Business Practice Address: | 2550 W Main St Lowell, MI - 493318695 |
| Business Phone Number: | 6162525600 |
| Business Fax Number: | 6162525600 |
| Mailing Address: | 2550 W Main St, LOWELL |
| State: | MI |
| Postal Code: | 493318695 |
| Phone Number: | 6162525600 |
| Fax Number: | 6162525600 |
| NPI Enumeration Date: | 03/07/2012 |
| NPI Last Update Date: | 04/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5601006287 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |