Wal-Mart Stores East LP

Practice location

Address

2301 W Kenosha St, Broken Arrow, OK 74012-8912

Phone

(918) 259-9136

Mailing address

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

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 277-6348

Registered specialties (3)

Registry record

NPI

1043237167

Entity type

Organization

NPI issued

16 Jul 2006

Record last updated

2 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.