Individual
WESLEY ROLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 PAR LN STE 102, ELIZABETHTOWN, KY 42701-9059
(270) 312-2500
Mailing address
100 PAR LN STE 102, ELIZABETHTOWN, KY 42701-9059
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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