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Individual

WESLEY A SOUTAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP CRNA

Contact information

Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-1735
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4024782
KY

Other

Enumeration date
07/22/2024
Last updated
10/31/2024
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