# KENTON FAMILY PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083779110
- **Authorized official:** DR. PAUL D WESSON DO (PHYSICIAN)
- **Authorized official phone:** (419) 675-1962

## Contact information

- **Practice address:** 75 WASHINGTON BLVD, KENTON, OH 43326-4001
- **Practice address phone:** (419) 675-1962
- **Practice address fax:** (419) 673-8058
- **Mailing address:** PO BOX 418, KENTON, OH 43326-0418
- **Mailing address phone:** (419) 675-1962
- **Mailing address fax:** (419) 673-8058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 09/29/2010