Individual
WESLEY PAUL WATTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2300 KY HIGHWAY 801 N, MOREHEAD, KY 40351-8995
(606) 548-5550
Mailing address
316 W 2ND ST, MOREHEAD, KY 40351-1550
(859) 562-1539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
05/22/2023
Last updated
08/24/2023
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