NPI 1104939156

Larry Wheeler, CPED

Practitioner Pedorthist Lexington, KY

Practice location

Address: 371 Southland Dr, Lexington, KY 40503-1824
Phone: (859) 266-0420
Fax: (859) 266-0667

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence 111233 (KY)

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Registry record

NPI: 1104939156
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2006
Record last updated: 21 Nov 2016

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.