WELLINGTON PROVIDER GROUP PC

OMAHA, NE
NPI1669184651
Entity TypeOrganization
Authorized ContactMARIELA BRAVO
Credentialing Team Lead
859-518-8817
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2022-12-21
Last Update Date2022-12-21
Business Address
WELLINGTON PROVIDER GROUP PC
1299 FARNAM ST STE 300
OMAHA, NE 68102-1857
Phone number: 859-518-8817
Mailing Address
WELLINGTON PROVIDER GROUP PC
535 WELLINGTON WAY STE 330
LEXINGTON, KY 40503-1331
Phone number: 859-518-8817