Individual
BETHANY WOODS MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3602 WOODHAVEN DR, SOMERSET, KY 42503-9512
(127) 025-0125
Mailing address
51 MILLPOND DR, MANCHESTER, KY 40962-7256
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
TSA005
KY
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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