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Contact Information

LARRY WHEELER, C.PED
371 SOUTHLAND DR
LEXINGTON, KY40503-1824
 Phone: 859-266-0420
 Fax: 859-266-0667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pedorthist

224L00000X
Indicates primary specialty

NPI Profile & details for LARRY WHEELER · (Male)

NPI Number 1104939156
Status Active
Credentials C.PED
Entity Individual
Enumeration date 08/16/2006
Last updated 11/21/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 111233
  • KY Medicaid 7100026770
  • KY Other 5574649 AETNA
  • KY Other 000000519294 ANTHEM BC/BS
  • KY Other 208278527 HUMANA
  • KY Other 5939230001 MEDICARE DME
  • KY Other 208278527 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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