Healthcare Provider Details

I. General information

NPI: 1396204194
Provider Name (Legal Business Name): MARGARET ENGLISH WETZEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST
LEXINGTON KY
40536-0293
US

IV. Provider business mailing address

740 S LIMESTONE SITE E101
LEXINGTON KY
40536-0293
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-5270
  • Fax:
Mailing address:
  • Phone: 859-257-5270
  • Fax: 859-257-5901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number103953
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number1396204194
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: