National Provider Identifier
Stacey Ann Walker, M.D.
Stacey Ann Walker, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Penn Yan, NY and a listed phone number of (315) 536-2752.
Profile Overview
- NPI
- 1386668655
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 27, 2006
- Last Updated
- February 16, 2017
Practice Location
- 112 Kimball Ave
- Penn Yan, NY 14527-1816
Phone: (315) 536-2752
Mailing Address
- 14 Maiden Ln
- PO Box 423
- Penn Yan, NY 14527-1208
Specialties
- Internal Medicine Physician (207R00000X)
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1386668655
- Entity Type
- Individual
- Last Name
- Walker
- First Name
- Stacey
- Middle Name
- Ann
- Credential
- M.D.
- Mailing Street Address
- 14 Maiden Ln
- Mailing Address Line 2
- PO Box 423
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1208
- Mailing Country
- US
- Mailing Phone
- (315) 531-9102
- Mailing Fax
- (315) 531-9103
- Practice Street Address
- 112 Kimball Ave
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1816
- Practice Country
- US
- Practice Phone
- (315) 536-2752
- Practice Fax
- (315) 536-4005
- Enumeration Date
- July 27, 2006
- Last Updated
- February 16, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Pediatrics Physician (208000000X)
- Other Identifiers
- 239852 (NY, License), 02799228 (NY)