Whalio Doctors

NPI 1083888325

Michael Jason Walls, MD

Practitioner Interventional Pain Medicine Physician Crestview Hills, KY

Practice location

Address
2845 Chancellor Dr, Crestview Hills, KY 41017-3418
Phone
(859) 301-2663
Fax
(859) 817-7848
Mailing address
560 S Loop Rd, Edgewood, KY 41017-3405

Registered specialties

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 42678 (KY)

Registry record

NPI
1083888325
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Apr 2008
Record last updated
20 Dec 2024

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.