Individual
DR. RANDALL ALLAN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9425 WESTPORT RD, LOUISVILLE, KY 40241-2219
(502) 326-5000
(502) 326-9730
Mailing address
9425 WESTPORT RD, LOUISVILLE, KY 40241-2219
(502) 326-5000
(502) 326-9730
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4773
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340302
KENTUCKY BCBS
KY
01
—
0937101
MEDICARE
KY
05
—
85003085
—
KY
Enumeration date
09/06/2007
Last updated
09/06/2007
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