Kaely Walker, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

T-01642 Issued in KS

Practice address

9825 Shannon Woods
Wichita, KS 67226-4100

Phone

(316) 634-2000

Fax

(316) 634-2321

NPI assigned

Oct 14, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Mercy - Mid Kansas Pediatric Associates Inc

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1134921943
  NPD (past)
• Mid-Kansas Pediatric Associates, P.a.

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1669433389
  NPD (past)
• Liberty Hospital Physician Clinics

  • Family Medicine Physician
  • Liberty, MO
  • NPI 1629212709
  NPD (past)
• The Liberty Clinic, Inc.

  • Family Medicine Physician
  • Liberty, MO
  • NPI 1952393977
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1730178583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 SHANNON WOODS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264100",
            "telephone_number": "316-634-2000",
            "fax_number": "316-634-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 SHANNON WOODS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264100",
            "telephone_number": "316-634-2000",
            "fax_number": "316-634-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KAELY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001684",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "T-01642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Alexander Walker, PHARMD
• James Lee Walker Jr., M.D.
• Jennifer Kristine Walker, RN
• John R Walker, LMSW
• Justin Dylan Walker, DO
• Katherine Ann Walker, APRN
• Kathryn Walker, APRN
• Kelly Renee Walker, LMFT
• Mark S Walker, RN
• Marshall D Walker, DO

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.