Individual
CARSON WHEELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
332 W BROADWAY, SUITE 810, LOUISVILLE, KY 40202-2130
(502) 583-0909
(502) 583-0913
Mailing address
332 W. BROADWAY, SUITE 810, LOUISVILLE, KY 40202-2133
(502) 583-0909
(502) 583-0913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3181A
KY
Other
Enumeration date
12/05/2006
Last updated
05/04/2010
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