Individual
JOHN L. WILHELMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
(859) 258-4796
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
(859) 258-4796
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
19828
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
19828
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GRP
KY
01
—
4000501
MEDICARE LAB GRP
KY
05
—
64198286
—
KY
01
—
CB5773
RR MEDICARE GRP
GA
Enumeration date
07/26/2006
Last updated
11/02/2007
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