| Doctor Name: | MS. KANDICE WALKER |
| NPI Number: | 1063811834 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 19212 |
| Business Practice Address: | 1619 Whisper Edge Cv Cordova, TN - 380160617 |
| Business Phone Number: | 6015173332 |
| Business Fax Number: | |
| Mailing Address: | 1619 Whisper Edge Cv, CORDOVA |
| State: | TN |
| Postal Code: | 380160617 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2014 |
| NPI Last Update Date: | 11/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 19212 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |