| Doctor Name: | MR. KEVIN OLIVER WALKER |
| NPI Number: | 1336286160 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | IDC |
| License Number: | |
| Business Practice Address: | 2650 Stockton Road Bld 624 San Diego, CA - 92106 |
| Business Phone Number: | 6195244450 |
| Business Fax Number: | |
| Mailing Address: | 2650 Stockton Road, Bld 624 SAN DIEGO |
| State: | CA |
| Postal Code: | 92106 |
| Phone Number: | 6195244450 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |