Individual
DR. DEBORAH KOON WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
60 CASSIDY WAY, DANVILLE, KY 40422-8472
(859) 936-1222
Mailing address
4435 LEBANON RD, DANVILLE, KY 40422-9626
(404) 863-4575
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017439
KY
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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