Individual
DARREL P WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 852-5851
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3005564
KY
367500000X
Certified Registered Nurse Anesthetist
RN-286811
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5564A
KY LICENSE
KY
05
—
7100041340
—
KY
Enumeration date
02/26/2008
Last updated
05/30/2025
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