Individual provider · Type 1 NPI

Timothy Wheeler, KCSA

Surgical Physician Assistant · Bowling Green, KY

NPI number 1386794956 Active

Practice location

1945 Scottsville Rd, B2 Pmb 137
Bowling Green, KY 42104-3376

Call (270) 781-4828 Map

Fax (270) 781-4828

Mailing address

1945 Scottsville Rd Ste B2
Bowling Green, KY 42104-5836

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XSA040 (KY)

Surgical Physician Assistant: Definition to come...

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About NPI 1386794956

Timothy Wheeler, KCSA's National Provider Identifier is 1386794956, issued on Jan 12, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bowling Green, KY. The record was last updated on Aug 20, 2012.