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Mary Waller — NPI 1003411661, Somerset, KY | NPI Central

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NPI 1003411661

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Mary Waller

NPI 1003411661 · Attendant Care Provider · Somerset, KY

Provider details

NPI number: 1003411661
Entity type: Individual
Primary specialty: Attendant Care ProviderNursing Service Related Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Attendant Care ProviderPrimary3747A0650X
Nursing Service Related Providers

Practice location

1471 Boat Dock Rd

Somerset, KY 42501-9246

Phone: (606) 492-7620

Approximate (ZIP-level) locationGet directions

More KY providers

Mailing address

1471 Boat Dock Rd

Somerset, KY 42501-9246

Registry dates

Enumerated: 2020-12-02
Last updated: 2020-12-02
Certified: 2020-12-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.