Individual
MITCHELL DAVID WADDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2318 FREDERICA ST, OWENSBORO, KY 42301-4826
(270) 686-7873
Mailing address
2318 FREDERICA ST, OWENSBORO, KY 42301-4826
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020725
KY
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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