NPI 1053190892

Bradley Joseph Weitlauf

Practitioner Home Health Aide Paducah, KY

Practice location

Address: 160 Susan Ln, Paducah, KY 42003-5526
Phone: (865) 304-3791

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1053190892
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Sep 2023
Record last updated: 21 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.