person
Dr. Michael Jason Walls, MD
Interventional Pain Medicine Physician in Crestview Hills, Kentucky
NPI 1083888325

Michael Jason Walls is a Interventional Pain Medicine Physician based in Edgewood, KY and is specialized in Interventional Pain Medicine. Michael Jason Walls practices in Crestview Hills, KY and has the professional credentials of MD. The NPI Number for Michael Jason Walls is 1083888325 and holds a License No. 42678 (Kentucky).

The current practice location address for Michael Jason Walls is 2845 Chancellor Dr, Crestview Hills, KY and can be reached out via phone at 859-301-2663 and via fax at 859-817-7848.

Location: 2845 Chancellor Dr, Crestview Hills, KY, 41017-3405
person
Provider Profile Details
NPI Number
1083888325
Provider Name
Michael Jason Walls
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2845 Chancellor Dr, Crestview Hills, KY, 41017-3405
Phone Number
859-301-2663
Fax Number
859-817-7848
Provider Enumeration Date
04/17/2008
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
003031812 01 UNITED HEALTHCARE PROVIDER ID NUMBER
0295938 05 OH
298418KYIP 01 KY AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER
9318357 01 AETNA PIN
300012365 05 IN
CS1811400200 01 CARESOURCE ID
000001148521 01 ANTHEM ID
15725575 01 KY WELLCARE OF KENTUCKY PROVIDER ID NUMBER
7100086870 05 KY
P02011197 01 KY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2845 Chancellor Dr
City
State
Zip
41017-3418
Phone Number
859-301-2663
Fax Number
859-817-7848
person
Provider Business Mailing Address Details
Address
2845 Chancellor Dr
City
State
Zip
41017-3418
Phone Number
859-301-2663
Fax Number
859-817-7848
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
License No.
42678 (Kentucky)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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