Individual
PATRICK A WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-9400
Mailing address
3128 SUMMITRUN DR, INDEPENDENCE, KY 41051-6720
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1397
KY
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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