Organization
WESLEY FAMILY MEDICAL PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT T. WESLEY (MD)
(270) 586-1969
Entity
Organization
Contact information
Practice address
1100 BROOKHAVEN RD, SUITE 101, FRANKLIN, KY 42134-2746
(270) 586-1969
(270) 586-1914
Mailing address
PO BOX 1099, FRANKLIN, KY 42135-1099
(270) 586-1969
(270) 586-1914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
3006580
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000569379
ANTHEM BCBS
—
Enumeration date
05/22/2008
Last updated
03/20/2013
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