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Search › Kentucky › General Practice Physician

Charles Waller, MD

NPI 1306841341 · on the registry since 2005

Practice

Address
218 Bass Ln
Benton, KY 42025
Phone
(270) 556-3239
Fax
(270) 354-5865

Registry record

Primary taxonomy
General Practice Physician
208D00000X
Also registered as
Emergency Medicine Physician
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-01
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky