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NPI Code Detail

MEDICARE: ERIN WESLEY

MEDICARE:   ERIN  WESLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistKY-4149KY

General Provider Information

NPI Number : 1245617745
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN WESLEY
Provider Business Mailing Address
First Line : PO BOX 1659
Second Line :
City : SOMERSET
State : KY
Zip : 42502-1659
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 E MOUNT VERNON ST
Second Line :
City : SOMERSET
State : KY
Zip : 42501-1331
Country : US
Telephone Number : 606-677-2636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2015
Last Update Date : 05/04/2015

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Directions to “ ERIN WESLEY ” Practice Location

Language Start Address Practice Location
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