KELLY WALKER (NPI# 1801293105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801293105 |
| Entity Type | Individual |
| Full Name | KELLY WALKER |
| Credential | PA-C |
| Practice Address |
2017 W I 35 Frontage Rd Suite 250 Edmond OK 73013-8504 |
| Practice Telephone | 4057573340 |
| Practice Fax Number | 4057573341 |
| Mailing Telephone | 4057573340 |
| Mailing Fax Number | 4057573341 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2016-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200569450A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703735 | Kelly Gay Walker | Technician | 8b Lynwood Ter, Huntington, WV 25705-3925 | 2020-09-08 |
| 1114542354 | Kelly D Walker | Counselor | 1942 W King St, Quincy, FL 32351-2057 | 2020-06-13 |
| 1124502034 | Kelly Walker | Speech-Language Pathologist | 200 Bruce Ave, Paducah, KY 42001-6731 | 2018-09-18 |
| 1245691583 | Kelly A Walker | Registered Nurse | 3100 S. Avenue A, Yuma, AZ 85364 | 2016-03-15 |
| 1679930580 | Kelly Lajoy Walker | Registered Nurse | 105 Balsam Ln, Fairport, NY 14450-1054 | 2016-01-22 |
| 1972980506 | Kelly Marie Walker | Behavioral Analyst | 800 N Watters Rd Ste 120, Allen, TX 75013-5346 | 2015-05-04 |
| 1538594791 | Kelly Elizabeth Walker | Mechanotherapist | 46 Royal Palm Pt, Vero Beach, FL 32960-5217 | 2013-09-06 |
| 1033555487 | Kelly Elizabeth Walker | Behavioral Analyst | 940 Southlakes Way Sw, Vero Beach, FL 32968-7526 | 2013-05-13 |
| 1437427861 | Kelly Lynn Walker | Mechanotherapist | 48 Cedar Rd, Kings Park, NY 11754-3307 | 2011-12-13 |
| 1356555288 | Kelly Jean Walker | Contractor | 920 Cortland Way, Palm Harbor, FL 34683-6011 | 2007-05-10 |
| Street Address |
2017 W I 35 FRONTAGE RD SUITE 250 |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-8504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917778 | William J. Hale II | Orthopaedic Surgery | 2017 W I 35 Frontage Rd, Sutie 250, Edmond, OK 73013-8504 | 2006-01-20 |
| 1669987079 | Justin Hixon | Physical Medicine & Rehabilitation | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8550 | 2017-12-07 |
| 1013457985 | Rachel Britton | Audiologist | 2017 W I 35 Frontage Rd, Suite 140, Edmond, OK 73013-8550 | 2017-02-27 |
| 1477000578 | Jason Stephen Seay | Registered Nurse | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8550 | 2016-09-06 |
| 1932565454 | Erin Elane Ashley | Physician Assistant | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8504 | 2016-01-13 |
| 1639568942 | Liz Tomichen | Physician Assistant | 2017 W I 35 Frontage Rd, Suite 170, Edmond, OK 73013-8550 | 2015-01-10 |
| 1306265640 | Mercy Pharmacy Services, LLC | Pharmacy | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8504 | 2014-04-15 |
| 1376967349 | Jillian Grace Marshall | Audiologist | 2017 W I 35 Frontage Rd, Suite 140, Edmond, OK 73013-8504 | 2014-02-12 |
| 1992131791 | Julie Marie Price | Nurse Practitioner | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8504 | 2013-09-25 |
| 1902143183 | Stacey Ann Timmons | Physician Assistant | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8504 | 2013-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568884047 | Bethany J Triana | Physician Assistant | 3863 South Boulevard, #200, Edmond, OK 73013-5540 | 2014-01-17 |
| 1326312661 | Stephani Lynn Jones | Physician Assistant | 305 S Bryant Ave, Suite 110, Edmond, OK 73034-5726 | 2012-03-05 |
| 1881886851 | Dana S Cortez | Physician Assistant | 925 W I 35 Frontage Rd Ste 100, Edmond, OK 73034-7399 | 2007-08-14 |
| 1649329996 | Crystal Hope Fredrickson | Physician Assistant | 3863 S Boulevard, Edmond, OK 73013-5540 | 2007-01-09 |
| 1952404238 | Jamie Shane Massengill | Physician Assistant | 7555 Winterwood Dr, Edmond, OK 73025-1861 | 2006-09-05 |
| 1508807520 | Tommy Dean Camp | Physician Assistant | 1101 Nw 178th St, Suite B, Edmond, OK 73012-4281 | 2006-06-09 |
| 1700248101 | Emily John | Physician Assistant | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2016-03-24 |
| 1083072185 | Rosa J. Rios | Physician Assistant | 4801 Integris Pkwy, Edmond, OK 73034-8864 | 2016-02-03 |
| 1316319817 | Shelby Rae Stephens | Physician Assistant | 65 S Saints Blvd, Edmond, OK 73034-3051 | 2015-10-22 |
| 1164761755 | Stevie Marie White Holley | Physician Assistant | 46 E 15th St, Edmond, OK 73013-4301 | 2013-02-03 |
| Find all providers in EDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.