Individual
WESLEY WAGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1652 NEVADA AVE, LONDON, KY 40741-2920
(606) 767-7390
Mailing address
1652 NEVADA AVE, LONDON, KY 40741-2920
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1203642
KY
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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