Jordan Levi Walter, PA-C

NPI #1023675725 in Lenexa, Kansas

Provider Information

NPI Number: 1023675725
Entity Type: Individual
Name: Jordan Levi Walter, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 29, 2019
Last Updated: Dec 30, 2025

Practice Location

Address: 16990 W 86TH ST
Address 2: STE 100
City: Lenexa
State: Kansas
ZIP Code: 66219-3211
Phone: (913) 676-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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