Kip Walker in Bennington - Addiction (substance Use Disorder)

Kip Walker - NPI 1467473983

Kip Walker is a Addiction (substance Use Disorder) in Bennington, Vermont. Kip Walker practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kip Walker is 1467473983. The last update date is 2008-03-21.

Kip Walker's current location address is 100 Ledgehill Rd, Bennington, Vermont. You can contact this provider via phone number 8024425491 and fax number 8024424910. The mailing address for Kip Walker is 100 Ledgehill Rd, Bennington, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Kip Walker
Address 100 Ledgehill Rd, Bennington, Vermont
Phone Number 8024425491
Fax Number 8024424910
Sole Proprietor N
Credentials LADC

NPI Number Detail

NPI Number 1467473983
Provider Enumeration Date 2006-07-21
Last Updated Date 2008-03-21

Provider Mailing Address Detail

Address 100 Ledgehill Rd
City Bennington
State Vermont (VT)
Post Code 52012273
Phone Number 8024425491
Fax Number 8024424910

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 375
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
69095 VT BLUE CROSS
2196448 VT CIGNA

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FAQs about Kip Walker

What is the unique 10-digit identification code issued to Kip Walker by the Centers for Medicare & Medicaid Services?

The Kip Walker has been assigned the NPI (National Provider Identifier) 1467473983 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Kip Walker located?

The Kip Walker is located at 100 Ledgehill Rd, Bennington, VT 52012273.

What is Kip Walker's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kip Walker's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1467473983 to Kip Walker?

The Centers for Medicare & Medicaid Services originally issued the 1467473983 to Kip Walker on 2006-07-21.

As of what date was the information pertaining to Kip Walker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kip Walker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-21.

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