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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY BETH WALLER

Active Sole Proprietor

MARY BETH WALLER is a Podiatric Surgery healthcare provider located in SOMERSET, Kentucky. NPI 1003411661 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · SOMERSET, KY

Registration Details

NPI Number
1003411661
Provider Type
Individual
Gender
Female
NPI Issued
Dec 2, 2020 (5.7132672714332 yrs)
Last Updated
Dec 2, 2020
Sole Proprietor
Yes

Practice Information

Address
1471 BOAT DOCK RD
SOMERSET, KY, 425019246
Browse KY providers · Browse ZIP 42501
Phone
6064927620
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in SOMERSET, KY

Name Credential NPI
WILMA STOCKTON BOYD 1932702305
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.