Individual
ADAM JOSEPH WALZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 W RIDGE PL, NEWPORT, KY 41071-2633
(859) 221-1893
Mailing address
11 W RIDGE PL, NEWPORT, KY 41071-2633
(859) 221-1893
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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