Individual
KELLY WIECHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
599 FREEDOM PARK DR STE 100, CRESTVIEW HILLS, KY 41017
(859) 426-0304
Mailing address
2861 KEARNEY CREEK LN, LEXINGTON, KY 40511-8688
(419) 996-9382
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10126
KY
Other
Enumeration date
06/06/2018
Last updated
06/07/2018
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