Provider Demographics
NPI:1144482969
Name:WALKER, BETHANY JEANNE (MSW)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:JEANNE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W 109TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4914
Mailing Address - Country:US
Mailing Address - Phone:816-674-2617
Mailing Address - Fax:
Practice Address - Street 1:3715 WYOMING ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3945
Practice Address - Country:US
Practice Address - Phone:816-753-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker