Individual
BEVERLY LYNN WIECHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9700 STONESTREET RD, LOUISVILLE, KY 40272-2884
(502) 438-3954
Mailing address
11319 ARBOR WOOD DR, LOUISVILLE, KY 40299-4189
(502) 438-3954
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1116493
KY
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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