Provider Demographics
NPI:1447896964
Name:WALKER, KARLA JEAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KARLA
Middle Name:JEAN
Last Name:WALKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 COUNTY ROAD D W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55112-3597
Mailing Address - Country:US
Mailing Address - Phone:651-628-6162
Mailing Address - Fax:
Practice Address - Street 1:402 COUNTY ROAD D W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55112-3597
Practice Address - Country:US
Practice Address - Phone:651-628-6162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115159183500000X
247ZC0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician
No183500000XPharmacy Service ProvidersPharmacist