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DR. KELLY WALKER DMD
NPI 1669147302
Dentist - General Practice in Wilmington, IL

Active since August 13, 2021
101 FULTON ST, WILMINGTON, IL 60481(815) 476-6755 Get Directions Write a Review

NPPES record last updated: October 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2022, Apr 8, 2022, Aug 13, 2021 (3 updates tracked since 2021).

About Dr. Kelly Walker Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY WALKER DMD (NPI 1669147302) is an individual general practice provider in Wilmington, Illinois, licensed in Illinois (019033776) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1669147302
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY WALKERCredential: DMD
Location Address101 FULTON STWilmington, IL 60481-1694
Mailing Address41 Mayflower DrBatavia, IL 60510-2808 · (630) 338-6439
Phone(815) 476-6755
Sole ProprietorNo
Enumeration DateAugust 13, 2021
Last NPPES UpdateOctober 9, 20223 updates tracked since enumeration
NPPES CertifiedOctober 9, 2022
✔ NPI 1669147302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IL · 019033776✔ Licensed in OR · D11510
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
101 FULTON ST, Wilmington, IL 60481
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY ANTHONY CAROLLO D.D.S.
Dentist
101 FULTON ST
WILMINGTON, IL 60481
Will County (815) 476-6755
GRAND DENTAL ASSOCIATES, P.C.
Dentist (General Practice)
101 FULTON ST
WILMINGTON, IL 60481
Will County (815) 476-6755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Walker's NPI number?

The NPI number for Kelly Walker is 1669147302. It was assigned to this individual provider in the NPPES registry on August 13, 2021.

Where is Kelly Walker located?

Kelly Walker practices at 101 Fulton St, Wilmington, IL 60481. The listed phone number is (815) 476-6755.

What is Kelly Walker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kelly Walker accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Kelly Walker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Walker was last updated on October 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.