TIMOTHY WHEELER

BOWLING GREEN, KY
NPI1386794956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: KY  SA040)
Enumeration Date2007-01-12
Last Update Date2012-08-20
Business Address
Mr. TIMOTHY WHEELER KCSA
1945 SCOTTSVILLE RD B2 PMB 137
BOWLING GREEN, KY 42104-3376
Phone number: 270-781-4828
Mailing Address
Mr. TIMOTHY WHEELER KCSA
1945 SCOTTSVILLE RD STE B2
BOWLING GREEN, KY 42104-5836
Phone number: 270-782-0434
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