Individual
STEPHEN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 MEDICAL CENTER DR, HAZARD, KY 41701-9421
(606) 439-6600
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02884
KY
207L00000X
Anesthesiology Physician
2912
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64126568
—
KY
Enumeration date
06/09/2006
Last updated
05/18/2020
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