Individual
TIMOTHY CHARLES WHARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
413 H C JOHNSON RD, RUSSELLVILLE, KY 42276-8975
(270) 847-1291
Mailing address
413 H C JOHNSON RD, RUSSELLVILLE, KY 42276-8975
(270) 847-1291
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1100386
KY
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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