Individual
JEREMY TODD WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 BELINDA BLVD, DANVILLE, KY 40422-3217
(859) 439-0340
Mailing address
121 MAN O WAR DR, HARRODSBURG, KY 40330-7507
(859) 297-8394
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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