| Kevin R Walker, MD | |
|
200 University Ave E, Saint Paul, MN 55101-2507 | |
| (651) 229-3948 | |
| (651) 312-3188 |
| Full Name | Kevin R Walker |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 200 University Ave E, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598701898 | NPI | - | NPPES |
| 478312300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 39265 (Minnesota) | Primary |
| Entity Name | Gillette Childrens Specialty Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin R Walker, MD 200 University Ave E, Saint Paul, MN 55101-2507 Ph: (651) 229-3948 | Kevin R Walker, MD 200 University Ave E, Saint Paul, MN 55101-2507 Ph: (651) 229-3948 |
Peter Daly, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17 Exchange St W, Suite 307, Saint Paul, MN 55102 Phone: 651-842-5200 Fax: 651-223-5903 | |
Dr. Greg A Brown, M.D., PH.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-1514 Fax: 651-254-1519 | |
Mr. Trenton Charles Cooper, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-726-2663 Fax: 651-312-3188 | |
David J Zaleske, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 310 Smith Ave N, Suite 120, Childrens Specialty Clinic-orthopaedics-stpl, Saint Paul, MN 55102 Phone: 651-220-5705 Fax: 651-220-5040 | |
Mai Nguyen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-8300 Fax: 651-254-8379 | |
F Stig Jacobsen, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-290-8707 | |
Steven Early Koop, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-229-3990 Fax: 651-229-3844 |