NPI 1063494169

Walter R Eiseman, MD

Practitioner Diagnostic Radiology Physician Edgewood, KY

Practice location

Address: 1 Medical Village Dr, Edgewood, KY 41017-3403
Phone: (859) 301-2160
Fax: (859) 301-3932
Mailing address: PO Box 932163, Cleveland, OH 44193-0001

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 15233 (KY)

Other Radiology providers in Kentucky →

Registry record

NPI: 1063494169
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2005
Record last updated: 8 Aug 2013

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.