KYLE WIEDEMER, PA-C
Physician Assistant
Active
Individual
NPI: 1750905972
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | TC115 (KY) |
Frequently Asked Questions
NPI 1750905972 is the National Provider Identifier for KYLE WIEDEMER, PA-C, a Physician Assistant provider located in Winchester, KY. This NPI was enumerated on June 3, 2020.
KYLE WIEDEMER, PA-C practices at 225 HOSPITAL DR STE 110, Winchester, KY 40391.
Quick Facts
- NPI
- 1750905972
- Type
- Individual
- Enumerated
- Jun 3, 2020
- Last Updated
- Nov 2, 2021
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