Dr. Nathan Frederick Walters
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
2800 Cannons Ln Ste 200
Louisville
, Kentucky 40205-2164
Dr. Nathan Frederick Walters
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
2800 Cannons Ln Ste 200
Louisville
, Kentucky 40205-2164
(502) 452-1926
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Nathan Frederick Walters
- 2800 Cannons Ln Ste 200
- Louisville, KY
- Zip : 40205-2164
- Fax : (502) 452-1926
- Phone : (502) 454-4885
Second Address
- Dr. Nathan Frederick Walters
- 2800 Cannons Ln Ste 200
- Louisville, KY
- Zip : 40205-2164
- Fax : (502) 452-1926
- Phone : (502) 454-4885
Reviews
FAQs
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Is Dr. Nathan Frederick Walters a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8066 | KY |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 8066 | KY |
National Provider Identifier
| NPI | 1265424907 |
|---|---|
| Provider Name | Dr. Nathan Frederick Walters |
| First Address | Louisville, KY 40205-2164 |
| Second Address | Louisville, KY 40205-2164 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2005 |
| Last Update Date | 12/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000339061 | BC/BS (01) | KY |
| 200498320 | (05) | IN |
| 60002789 | (05) | KY |
| 64082688 | (05) | KY |
| V03356 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.