Doctor Name: | MRS. KAYCE ANN WALKER |
NPI Number: | 1225338965 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 3086662 |
Business Practice Address: | 4880 N Highway 19a Ste 200 Mount Dora, FL - 327572018 |
Business Phone Number: | 3525898111 |
Business Fax Number: | 3525898495 |
Mailing Address: | 4880 N Highway 19a Ste 200, MOUNT DORA |
State: | FL |
Postal Code: | 327572018 |
Phone Number: | 3525898111 |
Fax Number: | 3525898495 |
NPI Enumeration Date: | 10/28/2010 |
NPI Last Update Date: | 10/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 3086662 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |