Individual
SHERRY WESLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2757 CANOE CREEK RD, LIBERTY, KY 42539-6127
(606) 706-1231
Mailing address
2757 CANOE CREEK RD, LIBERTY, KY 42539-6127
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
A00423
KY
314000000X
Skilled Nursing Facility
Primary
R1892
KY
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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