Head, Walter Weller

Head, Walter Weller is an individual health care provider with primary practice located at 1 Saint Joseph Dr , Lexington KY 40504-3742. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Head, Walter Weller can be contacted via phone (859) 313-1000.

Contact Information

Primary practice address
1 Saint Joseph Dr Lexington KY 40504-3742
Phone: (859) 313-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 932A Kentucky

Profile Details

NPI number 1215920905
LBN Legal business name Head, Walter Weller
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215920905 NPPES
Kentucky MEDICAID 74225426

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