Walker, Kent R

Walker, Kent R is an sole proprietor health care provider with primary practice located at 16202 64Th St E Ste 104 , Sumner WA 98390-3028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Walker, Kent R can be contacted via phone (541) 969-3344.

Contact Information

Primary practice address
16202 64Th St E Ste 104 Sumner WA 98390-3028
Fax: (253) 987-7049
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 20295 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00001577 Washington

Profile Details

NPI number 1902820020
LBN Legal business name Walker, Kent R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Feb 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902820020 NPPES
Washington Other 0432757 LABOR AND INDUSTRIES
Washington Other P02570879 LABOR AND INDUSTRIES
Washington Other G9017261 LABOR AND INDUSTRIES
Washington MEDICAID 150117 LABOR AND INDUSTRIES

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