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Walter Wilson JR., MD
Child & Adolescent Psychiatry Physician in Newport, Kentucky
NPI 1821485400

Walter Wilson JR. is a Child & Adolescent Psychiatry Physician based in Newport, KY and is specialized in Child & Adolescent Psychiatry. Walter Wilson JR. practices in Newport, KY and has the professional credentials of MD. The NPI Number for Walter Wilson JR. is 1821485400 and holds a License No. (Kentucky).

The current practice location address for Walter Wilson JR. is 215 E 11Th St, Newport, KY and can be reached out via phone at 859-655-6100.

Location: 215 E 11Th St, Newport, KY, 41071-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821485400
Provider Name
Walter Wilson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
215 E 11Th St, Newport, KY, 41071-2203
Phone Number
859-655-6100
Fax Number
Provider Enumeration Date
04/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54415 01 KY KY LICENSE
institution
Provider Business Practice Location Address Details
Address
215 E 11Th St
City
Newport
State
Kentucky
Zip
41071-2203
Phone Number
859-655-6100
Fax Number
person
Provider Business Mailing Address Details
Address
215 E 11Th St
City
Newport
State
Kentucky
Zip
41071-2203
Phone Number
859-655-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
54415 (Kentucky)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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