Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0533071 | KS |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 2007008574 | MO |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 0533071 | KS |
NPI | 1720206105 |
---|---|
Provider Name | Damion Y Walker |
First Address | Wichita, KS 67226-4104 |
Second Address | Wichita, KS 67226-4104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 05/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10848007 | MEDICARE PTAN (01) | KS |
110848007 | BLUE CROSS & BLUE SHIELD (01) | KS |
P01040939 | MEDICARE RR CARRIER (01) |