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
Phone: (541) 969-3344
Fax: (253) 987-7049
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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