Organization
KENTON FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D WESSON DO (PHYSICIAN)
(419) 675-1962
Entity
Organization
Contact information
Practice address
75 WASHINGTON BLVD, KENTON, OH 43326-4001
(419) 675-1962
(419) 673-8058
Mailing address
PO BOX 418, KENTON, OH 43326-0418
(419) 675-1962
(419) 673-8058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174289
—
OH
Enumeration date
12/27/2006
Last updated
09/29/2010
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