NPI 1003411661
Mary Beth Waller
Practice location
- Address
- 1471 Boat Dock Rd, Somerset, KY 42501-9246
- Phone
- (606) 492-7620
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1003411661
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Dec 2020
- Record last updated
- 2 Dec 2020
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.