Individual
MAKAYLA BETH WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9634
(270) 789-1112
(270) 789-6176
Mailing address
125 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9634
(270) 789-1112
(270) 789-6176
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
03/22/2024
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