Walker, Kiley Elizabeth

Walker, Kiley Elizabeth is an sole proprietor health care provider with primary practice located at 800 Macarthur Blvd Ste 6 , Munster IN 46321-2917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Walker, Kiley Elizabeth can be contacted via phone (219) 703-2417.

Contact Information

Primary practice address
800 Macarthur Blvd Ste 6 Munster IN 46321-2917
Phone: (219) 703-2417
Fax: (219) 703-6947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.008341 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10003336A Indiana

Profile Details

NPI number 1902475049
LBN Legal business name Walker, Kiley Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2021
Last updated Nov 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 1902475049 NPPES
Indiana MEDICAID 300053546

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