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Individual

NATHAN S WENDELL

Active
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Individual

NATHAN S WENDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2007-08
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548926
ANTHEM
KY
05
—
30605018
—
KY
Enumeration date
02/19/2007
Last updated
03/27/2008
About Stedi
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