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PATRICIA A WALSTON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
919B CHAMBERS BLVD, BARDSTOWN, KY 40004-2526
(502) 349-1411
(502) 349-0980
Mailing address
919B CHAMBERS BLVD, BARDSTOWN, KY 40004-2526
(502) 349-1411
(502) 349-0980

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3347P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78004850
KY
Enumeration date
09/27/2005
Last updated
07/08/2007
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