| Kevin M Walker, MD | |
|
390 N Main St, Bountiful, UT 84010-6046 | |
| (801) 397-6350 | |
| Not Available |
| Full Name | Kevin M Walker |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Emergency Medicine |
| Location | 390 N Main St, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265846158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | 10292173-1205 (Utah) | Primary |
| Entity Name | University of Utah Pediatric Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
| Entity Name | University of Utah Pediatric Acuity Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M Walker, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 397-6350 | Kevin M Walker, MD 390 N Main St, Bountiful, UT 84010-6046 Ph: (801) 397-6350 |
Dr. Kathleen M Liou, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 |
Dr. Brenda M Ritson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-397-6350 Fax: 801-294-1183 |
Dr. Jonathan Milton Tew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010 Phone: 801-295-2888 |
Dr. Allison L Groebs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 |
Clark K. Loftus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, #100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 |
Dr. Douglas Brent Nielsen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-294-1080 Fax: 801-292-8369 |
Pamela J. Hildebrand, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, #100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 |