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Individual

DR. ROOSEVELT WALKER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
140 PLAZA DR, COLD SPRING, KY 41076-2166
(859) 912-6500
(859) 442-1501
Mailing address
4685 FOREST AVE, STE C, CINCINNATI, OH 45212-3359
(513) 853-4731
(513) 852-8525

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22232
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0645912
OH
05
64222326
KY
Enumeration date
07/04/2006
Last updated
03/27/2017
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