Basic Information
Provider Information
NPI: 1437501095
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WALKER-MAY
FirstName: KELSEY
MiddleName: NICOLE
NamePrefix:  
NameSuffix:  
Credential: AU.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1233 N 18TH ST
Address2:  
City: ABILENE
State: TX
PostalCode: 796012932
CountryCode: US
TelephoneNumber: 3254373687
FaxNumber: 3254371827
Practice Location
Address1: 1233 N 18TH ST
Address2:  
City: ABILENE
State: TX
PostalCode: 796012932
CountryCode: US
TelephoneNumber: 3254373687
FaxNumber: 3254371827
Other Information
ProviderEnumerationDate: 07/07/2016
LastUpdateDate: 01/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X80884TXY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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