Individual
MR. JESSE L WINDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 CLIFTY ST STE 4, SOMERSET, KY 42503-1710
(606) 451-0200
Mailing address
600 CLIFTY ST STE 4, SOMERSET, KY 42503-1710
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/11/2018
Last updated
11/11/2018
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