Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE MICHAEL WIEDEMER, PA-C
Active Sole ProprietorKYLE MICHAEL WIEDEMER, PA-C is a Physician Assistant healthcare provider located in WINCHESTER, Kentucky. NPI 1750905972 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WINCHESTER, KY
Registration Details
- NPI Number
- 1750905972
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2020 (6.1929118813235 yrs)
- Last Updated
- Nov 2, 2021
- License
-
TC115 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
225 HOSPITAL DR STE 110WINCHESTER, KY, 403917624Browse KY providers · Browse ZIP 40391
- Phone
- 8597376572
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WINCHESTER, KY
| Name | Credential | NPI |
|---|---|---|
| JAMES K FARRIS | PA | 1205937323 |
| KURT S SCHLENTHER | PA-C | 1154411064 |
| JO LISA GENSLEY | PA-C | 1821405473 |
| MRS. JACQUELINE M THIRY | PA-C | 1144736679 |
| MISS ALEXIS NOEL BUDINE-UTTER | PA-C | 1033787031 |
| ALLISON LEA CHRISTIAN | MPH, PA-C | 1285387548 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.