Provider Demographics
NPI:1144821588
Name:WALKER, LEONA MARIE
Entity type:Individual
Prefix:
First Name:LEONA
Middle Name:MARIE
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 S KAW DR
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-8832
Mailing Address - Country:US
Mailing Address - Phone:785-375-5450
Mailing Address - Fax:
Practice Address - Street 1:BLDG. 650 HUEBNER ROAD
Practice Address - Street 2:FORT RILEY, 66442
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:66442
Practice Address - Country:US
Practice Address - Phone:785-240-7115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS71229163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management