Search › Illinois › 1223G0001X
Kelly Walker, DMD
NPI 1669147302 · on the registry since 2021
Practice
- Address
- 101 Fulton St
Wilmington, IL 60481 - Phone
- (815) 476-6755
- Organisation at this address
- Grand Dental Associates, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- OR, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois