MR. KENNETH D WALKER (NPI# 1588004857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588004857 |
| Entity Type | Individual |
| Full Name | MR. KENNETH D WALKER |
| Credential | RPH |
| Practice Address |
2101 E Evergreen Dr Appleton WI 54913-9001 |
| Mailing Address |
700 Pilgrim Way Green Bay WI 54304-5263 |
| Practice Telephone | 9207332305 |
| Practice Fax Number | 9207333814 |
| Mailing Telephone | 9202651944 |
| Mailing Fax Number | 9204298758 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13590-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194232009 | Kenneth Walker | Massage Therapist | 55 Boston Rd, Chelmsford, MA 01824-3057 | 2018-01-02 |
| 1063820967 | Kenneth Tyrone Walker | Counselor | 127 Autumn Leaf Dr, Albany, GA 31701-4799 | 2014-07-24 |
| 1720189475 | Kenneth James Walker | Otolaryngology | 300 S Houston Lake Rd, Warner Robins, GA 31088-6392 | 2006-09-26 |
| 1154337160 | Kenneth Gamaliel Walker Sr. | Counselor | 1230 Hightower Rd Nw, Atlanta, GA 30318-3822 | 2006-07-31 |
| 1063045136 | Kenneth Walker | Pharmacy Technician | 5353 Yellowstone Rd, Cheyenne, WY 82009-4178 | 2020-02-18 |
| 1912402652 | Kenneth Walker Jr. | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2018-03-26 |
| 1942465711 | Kenneth O. Walker | Specialist/Technologist, Other | 5716 Hickory Plz, Suite 200, Nashville, TN 37211-8546 | 2008-07-22 |
| 1801078944 | Kenneth Walker | Marriage & Family Therapist | 80 C Michael Davenport Blvd, Suite A, Frankfort, KY 40601-4399 | 2007-11-30 |
| 1487844379 | Kenneth N Walker | Psychologist | 6702 W Poly Webb Rd, Arlington, TX 76016-3615 | 2007-07-27 |
| 1265632111 | Kenneth Allen Walker | Counselor | 2675 N Martin St, Bldg #700, East Point, GA 30344-6948 | 2007-07-19 |
| Street Address |
2101 E EVERGREEN DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-9001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588846976 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 2101 E Evergreen Dr, Appleton, WI 54913-9001 | 2007-11-28 |
| 1942793179 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 2101 E Evergreen Dr, Appleton, WI 54913-9001 | 2018-06-12 |
| 1285055699 | Amy Pankow | Pharmacist | 2101 E Evergreen Dr, Appleton, WI 54913-9001 | 2014-01-02 |
| 1639509391 | Bradley Schmechel | Pharmacist | 2101 E Evergreen Dr, Appleton, WI 54913-9001 | 2013-11-17 |
| 1932545852 | Suzanne Mary Luniak | Pharmacist | 2101 E Evergreen Dr, Appleton, WI 54913-9001 | 2013-05-18 |
| 1114269388 | Jesica R Schoen | Pharmacist | 2101 E Evergreen Dr, Appleton, WI 54913-9001 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057394 | Nicole Spradley | Pharmacist | 29 S Keller Park Dr, Appleton, WI 54914-8869 | 2020-03-09 |
| 1316311137 | Erin Mcdonald | Pharmacist | 3701 E Evergreen Dr Ste 1000, Appleton, WI 54913-7409 | 2015-11-17 |
| 1073910527 | Anna Peterson Sanders | Pharmacist | 513 N Sampson St, Appleton, WI 54911-5345 | 2014-11-28 |
| 1972944825 | Jennifer Baerenwald | Pharmacist | W2721 Brookhaven Dr, Appleton, WI 54915-8184 | 2013-07-08 |
| 1437597861 | Alvin Alfred Krause | Pharmacist | 1600 S Hillcrest Dr, Appleton, WI 54914-5125 | 2013-06-07 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1568715944 | Gary A Melis | Pharmacist | 1621 W Marquette St, Appleton, WI 54914-2287 | 2012-10-22 |
| 1689927113 | George Paul Gosz | Pharmacist | 319 E Greenfield St, Appleton, WI 54911-2133 | 2012-10-22 |
| 1437435898 | Gina Lee Bicigo | Pharmacist | 4800 N Stargaze Dr, Appleton, WI 54913-7330 | 2011-10-31 |
| 1396914529 | Jerome Anton Wallenfang Jr. | Pharmacist | N276 Gillan Ct, Appleton, WI 54915-5502 | 2008-02-21 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.