Individual
PATRICIA M WORTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
250 MCDAVID BLVD, GRAYSON, KY 41143-1603
(606) 474-7835
Mailing address
12910 SHELBYVILLE RD, SUITE 300, LOUISVILLE, KY 40243-1593
(502) 244-2441
(502) 254-4069
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
148705
KY
231H00000X
Audiologist
SLPAUD00193936
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100411460
—
KY
Enumeration date
10/20/2015
Last updated
08/16/2016
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