Walmart INC.

Practice location

Address

2390 E Cedar St, Rawlins, WY 82301-6026

Phone

(307) 417-3058

Fax

(307) 417-3007

Mailing address

702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 853-0515

Registered specialties (2)

Registry record

NPI

1013325182

Entity type

Organization

NPI issued

1 Aug 2014

Record last updated

14 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.