Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 7954 | KY |
N | 1223D0001X | Dental Public Health | 7954 | KY |
Y | 1223G0001X | General Practice | 7954 | KY |
Y | 213EG0000X | General Practice | 7954 | KY |
NPI | 1043294945 |
---|---|
Provider Name | Dr. Heather Lindsay Walker |
First Address | Louisville, KY 40272-4350 |
Second Address | Louisville, KY 40272-4350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2005 |
Last Update Date | 23/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100093560 | (05) | KY |