Individual
DR. BRIAN J WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1808 BRISTOW DRIVE, PRIMARY CARE-UNION BRISTOW DRIVE, UNION, KY 41091-3513
(859) 301-7210
(859) 301-7216
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-7210
(859) 301-7216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43598
KY
207Q00000X
Family Medicine Physician
R1880
KY
Other
Enumeration date
07/21/2009
Last updated
03/30/2021
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