Walker, Kimberly Renee
Walker, Kimberly Renee is an individual health care provider with primary practice located at 795 E Second Street Suite 2, Pomona CA 91766. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Walker, Kimberly Renee can be contacted via phone (909) 706-3899.Contact Information
Primary practice address
795 E Second Street Suite 2
Pomona CA 91766
Phone: (909) 706-3899
Fax: (909) 469-8640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 14331TPG | California |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 14331TPG | California |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 14331TPG | California |
Profile Details
| NPI number | 1922079177 |
|---|---|
| LBN Legal business name | Walker, Kimberly Renee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | May 17th, 2018 - about 6 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 | 1922079177 | NPPES |
| California | Other | FY138Z | MEDICARE PTAN SO CAL |
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