Keeley Victoria Marie Walker | Oklahoma City, OK • PECOS Search

Keeley Victoria Marie Walker

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

13316 S Western Ave, Oklahoma City, OK 73170-7302

(405) 703-8882 (405) 615-0495

PECOS Enrollment

Based on the most recent information from CMS, provider Keeley Victoria Marie Walker does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:05 AM.

Profile Details

Provider ID
1679071864
Provider Type
Individual
Full Name
Walker, Keeley Victoria Marie
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
1/23/2018
Last Updated
3/22/2018

Contact Information

Practice Location

13316 S Western Ave, Oklahoma City, OK 73170-7302

Unlisted Fax

Mailing Location

805 E Lea Ter, Mustang, OK 73064-4545

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 106023 Oklahoma