Individual provider
DR. KELLY WALKER, DDS
CMS NPPES lists DR. KELLY WALKER as an individual provider record with NPI 1114941986. The current record reports a primary practice location in BEAR, DE and primary taxonomy code 122300000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location1991 PULASKI HWY STE 1BEAR, DE 197011708
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
122300000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- July 26, 2006
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.