Individual
HALLIE WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536-0001
(859) 323-6561
Mailing address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
KY
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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