WESLEY A SOUTAR

LOUISVILLE, KY
NPI1629806716
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  4024782)
Enumeration Date2024-07-22
Last Update Date2024-10-31
Business Address
WESLEY A SOUTAR DNP CRNA
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-852-1735
Mailing Address
WESLEY A SOUTAR DNP CRNA
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0328