Katie Jo Walker
Individual provider Active NPI General Practice Dentistry · Spring Hill, KS
NPI 1477083046 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1477083046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 61526 (KS)
- Practice address
- 22450 S Harrison St Ste 102
Spring Hill, KS 66083-8882 - Phone
- (913) 592-4149
- NPI assigned
- Jun 15, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61526 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KJW Dental, LLC | General Practice | Current |
Accepting new patients |
| Ryan Dental GPS LLC | Past |
Accepting new patients | |
| Dental Professionals of Nebraska, PC | General Practice | Past |
Accepting new patients |
| Spring Hill Family Dentistry, PA | General Practice | Past |
Accepting new patients |
Locations
22450 S Harrison St
Ste 102
Spring Hill, KS 66083
Phone (402) 380-0461
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61526 | KS | Yes |
Addresses
Primary practice location
22450 S Harrison St Ste 102
Spring Hill, KS 66083-8882
Mailing address
22450 S Harrison St Ste 102
Spring Hill, KS 66083-8882
Phone (913) 592-4149
Other providers in Spring Hill, KS
- Steven F. Burmaster, DDS, LLC
- Sunsong Counseling LLC
- Erin Sunsong
- Brook Town
- Nicholas James Wakefield
- Whitesell Optometry, PA
- William Lee Whitesell
- Jerad E Widman
- Worthey Counseling LLC
- Maria Susan Wright
All providers in Spring Hill, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.