Organization
K. BRIAN WALTON, MD, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH BRIAN WALTON MD (OWNER)
(615) 872-1092
Entity
Organization
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Mailing address
PO BOX 249, GOODLETTSVILLE, TN 37070-0249
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3731200
—
TN
Enumeration date
01/30/2007
Last updated
02/29/2008
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