| Colleen Walker Md Pllc | |
|
3945 Nanz Ave Louisville KY 40207 | |
| (502) 899-1100 | |
| (502) 614-6508 |
| Full Name | Colleen Walker Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3945 Nanz Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Colleen M Walker (MD OWNER) |
| Authorized Official Contact | 5028991100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Walker Md Pllc 3945 Nanz Ave Louisville KY 40207 Ph: (502) 899-1100 | Colleen Walker Md Pllc 3945 Nanz Ave Louisville KY 40207 Ph: (502) 899-1100 |
| NPI Number | 1720549264 |
|---|---|
| Provider Enumeration Date | 03/27/2019 |
| Last Update Date | 03/27/2019 |
| Medicare PECOS PAC ID | 4385977362 |
|---|---|
| Medicare Enrollment ID | O20190606000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720549264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Diane A Rennirt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124083969 PECOS PAC ID: 4183672447 Enrollment ID: I20050104000657 |
| Provider Name | Colleen M Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750346078 PECOS PAC ID: 8224086590 Enrollment ID: I20050104000688 |
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