Kelly Walker, MS, RD, LDN is a
Dietitian, Registered based in Palestine, Illinois. Kelly Walker is licensed to practice in Illinois (license number 164005007) and her current practice location is
12245 N 1800th St, Palestine, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 553-5467.
NPI number for Kelly Walker is 1588266613 and her current mailing address is 12245 N 1800th St, Palestine, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588266613.
Healthcare Provider's Profile
Full Name | Kelly Walker |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 12245 N 1800th St, Palestine, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588266613
- Provider Enumeration Date: 11/13/2020
- Last Update Date: 11/13/2020
Medical Identifiers
Medical identifiers for Kelly Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588266613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164005007 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Walker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Walker, MS, RD, LDN 12245 N 1800th St, Palestine, IL 62451-2728 Ph: (618) 553-5467 | Kelly Walker, MS, RD, LDN 12245 N 1800th St, Palestine, IL 62451-2728 Ph: (618) 553-5467 |
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