Chad Walters,do, Llc

NPI 1154684785 - Specialist - 174400000X

NPI Details
NPI 1154684785
Enumeration Date 06/19/2012
Last Updated 11/14/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LIZ LIZ
Position OFFICE MANAGER
Phone (502) 491-9590
Fax (502) 491-9592
Practice Location
4400 BRECKENRIDGE LN
STE 124
LOUISVILLE KY, 40218-4135, US
Phone (502) 491-9590
Fax (502) 491-9592
Business Location
4400 BRECKENRIDGE LN
STE 124
LOUISVILLE KY, 40218-4135, US
Phone (502) 491-9590
Fax (502) 491-9592
Toxanomy
Taxonomy Code 174400000X
License State Kentucky
License Number 03009
Remove 1154684785 NPI Number
 

According to our database, Chad Walters,do, Llc NPI is 1154684785, taxonomy code is 174400000X and license number is 03009, license state is located at Kentucky. Chad Walters,do, Llc physically located at 4400 Breckenridge Ln, Louisville KY, 40218-4135. NPI Number 1033115704 has the healthcare provider type.

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1154684785 NPI number is provided on an as is basis without warranty of any kind. 1154684785 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Walters,do, Llc are for informational purposes only.