Individual
DR. WALTER EDWARD APP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3430 NEWBURG RD, SUITE 150, LOUISVILLE, KY 40218-2497
(502) 459-9127
(502) 459-2156
Mailing address
3430 NEWBURG RD, SUITE 150, LOUISVILLE, KY 40218-2497
(502) 459-9127
(502) 459-2156
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
24136
KY
207RP1001X
Pulmonary Disease Physician
Primary
KY24136
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
24136
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110033039
RAILROAD MEDICARE
KY
01
—
200003130
INDIANA MEDICAID
KY
05
—
64241367
—
KY
01
—
7178282
AETNA
KY
Enumeration date
10/04/2006
Last updated
11/10/2016
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