Kelly D Walker (NPI# 1417241068, PAC ID# 5193950608) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417241068 |
| PAC ID by PECOS | 5193950608 |
| Professional Enrollment ID | I20131108000240 |
| Full Name | Kelly D Walker |
| Organization Legal Name | LIVINGSTON HEALTHCARE |
| Address |
104 Centennial Dr Suite 103 Livingston MT 59047-8101 |
| Phone Number | 4062220030 |
| Gender | F |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991613598 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271317 | LIVINGSTON HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 | 4062220030 | LIVINGSTON HEALTHCARE |
| 104 Centennial Dr, Livingston, MT 59047-8101 | 4062220030 | LIVINGSTON HEALTHCARE |
| 320 Alpenglow Ln, Livingston, MT 59047-8506 | 4062223541 | LIVINGSTON HEALTHCARE |
| Organization Legal Name | LIVINGSTON HEALTHCARE |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julianne E Anderson | Physician Assistant | Livingston Healthcare | 320 Alpenglow Ln, Livingston, MT 59047-8506 |
| Carla J Campbell | Nurse Practitioner | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Michael J Briggs | Family Medicine | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Krista Arnet | Emergency Medicine | Livingston Healthcare | 320 Alpenglow Ln, Livingston, MT 59047-8506 |
| Genevieve K Reid | Family Medicine | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Julie A Higgs | Certified Registered Nurse Anesthetist (crna) | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Bruce Swarny | Psychiatry | Livingston Healthcare | 320 Alpenglow Ln, Livingston, MT 59047-8506 |
| Brynn E Burbach | Certified Registered Nurse Anesthetist (crna) | Livingston Healthcare | 320 Alpenglow Ln, Livingston, MT 59047-8506 |
| Kary J Engle | Physician Assistant | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Nicole C Dearmond | Physician Assistant | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Street Address |
104 CENTENNIAL DR SUITE 103 |
| City | LIVINGSTON |
| State | MT |
| Zip | 59047-8101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla J Campbell | Nurse Practitioner | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Michael J Briggs | Family Medicine | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Genevieve K Reid | Family Medicine | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Julie A Higgs | Certified Registered Nurse Anesthetist (crna) | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Kary J Engle | Physician Assistant | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Nicole C Dearmond | Physician Assistant | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Rae L Stevenson | Family Medicine | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Kelsey Lee Hughes | Physician Assistant | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Henry Pinango | Internal Medicine | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Benjamin N Flook | Family Medicine | Livingston Healthcare | 104 Centennial Dr, Suite 103, Livingston, MT 59047-8101 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy J Petrulis | Clinical Social Worker | 108 Callender St, Suite 4, Livingston, MT 59047 | |
| Maya Howell | Clinical Social Worker | 605 N 2nd St, Livingston, MT 59047-1907 | |
| Donna J Delich | Clinical Social Worker | Ste 4, Delich Counseling Services LLC, Livingston, MT 59047-2000 | |
| David B Powell | Clinical Social Worker | 320 N Main St, Suite 1, Livingston, MT 59047-2000 | |
| Christine E May | Clinical Social Worker | 320 N Main St, Suite 2, Livingston, MT 59047-2000 | |
| Deborah Kern | Nurse Practitioner | Community Health Partners, Inc | 126 S Main, Livingston, MT 59047-2624 |
| Drewry H Westerman | Nurse Practitioner | Community Health Partners, Inc | 126 S Main, Livingston, MT 59047-2624 |
| Lindsay Carlson | Family Practice | Community Health Partners, Inc | 126 S Main, Livingston, MT 59047-2624 |
| Johanna Rae Barney | Optometry | Eyecare Professionals - Mountain Eyewear | 305 W Park St, Livingston, MT 59047-2630 |
| Marisa D Hess | Optometry | Eyecare Professionals - Mountain Eyewear | 305 W Park St, Livingston, MT 59047-2630 |
| Find all physicians in zip 59047 | |||
| City | LIVINGSTON |
| Zip Code | 59047 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LIVINGSTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kelly D Walker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.