Basic Information
| Provider Information | |||||||||
| NPI: | 1790924363 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WALKER | ||||||||
| FirstName: | HOLLY | ||||||||
| MiddleName: | N | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 950202 | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402950202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5029696552 | ||||||||
| FaxNumber: | 5029693799 | ||||||||
| Practice Location | |||||||||
| Address1: | 210 E GRAY ST | ||||||||
| Address2: | SUITE 1105 | ||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402023900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5025831609 | ||||||||
| FaxNumber: | 5025832120 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2009 | ||||||||
| LastUpdateDate: | 03/04/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | 5887P | KY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 000000616408 | 01 | KY | SIHO- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY | OTHER | 5887P | 01 | KY | KY BOARD OF LICENSE | OTHER | 7100091920 | 05 | KY | MEDICAID | 000023036N | 01 | KY | HUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY | OTHER | 200952380 | 01 | KY | HEALTHY INDIANA PLAN- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY | OTHER | 200952380 | 01 | KY | MD WISE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY | OTHER | 50023978 | 01 | KY | PASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY | OTHER | 000000616408 | 01 | KY | ANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY | OTHER | 200952380 | 01 | KY | MEDICAID INDIANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY | OTHER | 3715729000 | 01 | KY | PASSPORT ADVANTAGE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY | OTHER | 00533133 | 01 | KY | MEDICARE KY- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY | OTHER |