Individual
DR. CARESSE LYNNETTE WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
150 MOUNT VERNON DR, GEORGETOWN, KY 40324-1410
(502) 218-1710
(502) 218-1711
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03359
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100132670
—
KY
Enumeration date
03/25/2008
Last updated
10/25/2024
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