Individual
KATHY JUSTICE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CFNP, MSN
Contact information
Practice address
202 BEVINS LN, GEORGETOWN, KY 40324-6178
(859) 323-9333
Mailing address
202 BEVINS LN, GEORGETOWN, KY 40324-6178
(859) 323-9333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3000656
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7800304300
—
KY
Enumeration date
10/25/2006
Last updated
09/10/2014
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