Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 4251 | KY |
Y | 1223E0200X | Endodontist | 4251 | KY |
NPI | 1063549392 |
---|---|
Provider Name | Dr. Paul T Wehrman |
First Address | Lexington, KY 40503-3256 |
Second Address | Lexington, KY 40503-3256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 05/01/2021 |