KYLE MICHAEL WIEDEMER

WINCHESTER, KY
NPI1750905972
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  TC115)
Enumeration Date2020-06-03
Last Update Date2021-11-02
Business Address
KYLE MICHAEL WIEDEMER PA-C
225 HOSPITAL DR STE 110
WINCHESTER, KY 40391-7624
Phone number: 859-737-6572
Mailing Address
KYLE MICHAEL WIEDEMER PA-C
225 HOSPITAL DR STE 110
WINCHESTER, KY 40391-7624
Phone number: 859-737-6572