WALTER WELLER HEAD

LEXINGTON, KY
NPI1215920905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  932A)
Enumeration Date2005-08-26
Last Update Date2007-07-08
Business Address
-- WALTER WELLER HEAD CRNA
1 SAINT JOSEPH DR
LEXINGTON, KY 40504-3742
Phone number: 859-313-1000
Mailing Address
-- WALTER WELLER HEAD CRNA
3320 TATES CREEK RD SUITE 204
LEXINGTON, KY 40502-3400
Phone number: 859-268-1030