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Individual

WESLEY SCOTT CONN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
100 MALLARD CREEK RD STE 320, LOUISVILLE, KY 40207-5136
(502) 690-8782
(502) 459-0923
Mailing address
55 FOUNDATION DR, FLEMINGSBURG, KY 41041-9815
(606) 849-5000
(606) 849-5005

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1109611
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3007910
KY

Other

Enumeration date
01/26/2013
Last updated
08/19/2015
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