Provider Demographics
NPI:1477744803
Name:WALTON VERONA SCHOOLS
Entity Type:Organization
Organization Name:WALTON VERONA SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-485-4181
Mailing Address - Street 1:16 SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:KY
Mailing Address - Zip Code:41094-1038
Mailing Address - Country:US
Mailing Address - Phone:859-485-4181
Mailing Address - Fax:859-485-1810
Practice Address - Street 1:16 SCHOOL RD
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:KY
Practice Address - Zip Code:41094-1038
Practice Address - Country:US
Practice Address - Phone:859-485-4181
Practice Address - Fax:859-485-1810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY=========Medicaid