Walmart INC.

Practice location

Address

300 E Lake Mead Pkwy, Henderson, NV 89015-5576

Phone

(702) 564-5776

Mailing address

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

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 277-6348

Registered specialties (3)

Registry record

NPI

1043237142

Entity type

Organization

NPI issued

16 Jul 2006

Record last updated

5 Jun 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.